Organization · Type 2 NPI
Samuel A. Bolivar, MD Inc
Primary Care Clinic/Center · San Bernardino, CA
NPI number
1689082711
Active
Practice location
555 N D St, Suite 130
San Bernardino, CA 92401-1305
Fax (909) 888-9940
Mailing address
3410 La Sierra Ave, F369
Riverside, CA 92503-5270
Other practice locations
- 400 S California Ave Ste C, Parker, AZ 85344-4426 · (928) 259-1000
- 10600 Magnolia Ave Ste J, Riverside, CA 92505-1819 · (951) 352-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | A41590 (CA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1689082711
Samuel A. Bolivar, MD Inc's National Provider Identifier is 1689082711, issued on Aug 1, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 1, 2026.