SAMUEL A. BOLIVAR MD INC NPI 1689082711

NPI Information

  • NPI: 1689082711
  • Provider Name: SAMUEL A. BOLIVAR, MD INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 555 N D ST
    SUITE 130
    SAN BERNARDINO, CA
    ZIP 92401
  • Phone: (909) 888-8154

Map and Directions

Get Directions

NPI Details

SAMUEL A. BOLIVAR, MD INC is a primary care clinic center in San Bernardino, CA. SAMUEL A. BOLIVAR, MD INC NPI is 1689082711. The provider is registered as an organization entity type.

The provider's business location address is:

555 N D ST
SUITE 130
SAN BERNARDINO, CA
ZIP 92401-305
Phone: (909) 888-8154
Fax: (909) 888-9940

The provider's authorized official is Barbara Bolivar .
The authorized official title is Administrator and has the following contact phone number (909) 888-8154.

The enumeration date for this NPI number is 8/1/2014 and was last updated on 4/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareA41590CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI