David Alfonso Bolivar, MD | |
18300 Highway 18, Apple Valley, CA 92307 | |
(760) 242-2311 | |
Not Available |
Full Name | David Alfonso Bolivar |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 48 Years |
Location | 18300 Highway 18, Apple Valley, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801830609 | NPI | - | NPPES |
00A333730 | Medicaid | CA | |
00A333732 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A33373 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bolivar Family Medical Clinic A Medical Corporation | 4880630102 | 3 |
Entity Name | Bolivar Family Medical Clinic A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215991534 PECOS PAC ID: 4880630102 Enrollment ID: O20050707000970 |
Entity Name | Quality Care Ipa Inland Empire, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881038628 PECOS PAC ID: 5597989202 Enrollment ID: O20140620000317 |
Mailing Address | Practice Location Address |
---|---|
David Alfonso Bolivar, MD 598 N F St, San Bernardino, CA 92410-3110 Ph: (951) 351-1600 | David Alfonso Bolivar, MD 18300 Highway 18, Apple Valley, CA 92307 Ph: (760) 242-2311 |
Alexander Sang-hyun Lee, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Timothy Grant Mcnaughton, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Eugene Wen-chun Hu, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Todd Anthone Larson, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Jose Benavidez Bueno, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 19273 Kanbridge St, Apple Valley, CA 92308 Phone: 760-912-1613 | |
R. David Kovacik, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 | |
Daniel Lumucso Quion, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 |