| Samuel A. Bolivar, Md Inc | |
|
555 N D St Suite 130 San Bernardino CA 92401-1305 | |
| (909) 888-8154 | |
| (909) 888-9940 |
| Full Name | Samuel A. Bolivar, Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 N D St, San Bernardino, California |
| Authorized Official Name and Position | Barbara Bolivar (ADMINISTRATOR) |
| Authorized Official Contact | 9098888154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel A. Bolivar, Md Inc 3410 La Sierra Ave F369 Riverside CA 92503-5270 Ph: (909) 888-8154 | Samuel A. Bolivar, Md Inc 555 N D St Suite 130 San Bernardino CA 92401-1305 Ph: (909) 888-8154 |
| NPI Number | 1689082711 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 1557684693 |
|---|---|
| Medicare Enrollment ID | O20141222002693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689082711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A41590 (California) | Primary |
| Provider Name | Samuel A Bolivar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144251067 PECOS PAC ID: 2860498821 Enrollment ID: I20061013000528 |
Shuang Bai, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 502, San Bernardino, CA 92404 Phone: 909-883-3838 Fax: 909-792-5531 | |
Melody Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1873 Commerce Center West, San Bernardino, CA 92408 Phone: 909-890-5511 Fax: 909-890-4599 | |
Sac Norton Community Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 E 2nd St, San Bernardino, CA 92408 Phone: 909-382-7100 Fax: 909-382-7136 | |
Sac Arrowhead Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1293 N D St, San Bernardino, CA 92405 Phone: 909-382-7100 Fax: 909-382-7101 | |
Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
Pliev Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Arrowhead Ave, San Bernardino, CA 92401 Phone: 909-424-0065 | |
Healthy Preferred Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 S Arrowhead Ave, Ste D, San Bernardino, CA 92408 Phone: 909-553-6143 |