David Alfons Bolivar (NPI# 1346242005, PAC ID# 2567363278) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1346242005 |
| PAC ID by PECOS | 2567363278 |
| Professional Enrollment ID | I20050216000968 |
| Full Name | David Alfons Bolivar |
| Organization Legal Name | ASSOCIATED SURGEONS OF SAN LUIS OBISPO |
| Address |
77 Casa St Suite 103 San Luis Obispo CA 93405-5804 |
| Phone Number | 8055460411 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7810949989 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050633 | TWIN CITIES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 | 8055460411 | ASSOCIATED SURGEONS OF SAN LUIS OBISPO |
| 292 Posada Ln, Suite C, Templeton, CA 93465-4054 | 8054342253 | ASSOCIATED SURGEONS OF SAN LUIS OBISPO |
| Organization Legal Name | ASSOCIATED SURGEONS OF SAN LUIS OBISPO |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Tidik | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| John Charles Blaney | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Clifford Gelman | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Farah A Mansuri | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Edwin Sueyo Hayashi | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Howard Haruo Hayashi | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Eric Michael Salinger | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Michelle Ribas | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Street Address |
77 CASA ST SUITE 103 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93405-5804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Andrew Pull | Chiropractic | Community Health Centers of The Central Coast, Inc. | 77 Casa St, 201 202, San Luis Obispo, CA 93405-5803 |
| Stephen Tidik | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| John Charles Blaney | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Amanda S R White | Certified Registered Nurse Anesthetist (crna) | Amsurg San Luis Obispo Anesthesia, LLC | 77 Casa St, Suite 106, San Luis Obispo, CA 93405-5804 |
| Clifford Gelman | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Farah A Mansuri | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Ruth E Gray | Chiropractic | Community Health Centers of The Central Coast, Inc. | 77 Casa St, 201 202, San Luis Obispo, CA 93405-5803 |
| Edwin Sueyo Hayashi | General Surgery | Associated Surgeons of San Luis Obispo | 77 Casa St, Suite 103, San Luis Obispo, CA 93405-5804 |
| Natalia V Schwartz | Family Medicine | Community Health Centers of The Central Coast, Inc. | 77 Casa St, 201 202, San Luis Obispo, CA 93405-5803 |
| Satish Raj | Family Medicine | Community Health Centers of The Central Coast, Inc. | 77 Casa St, 201 202, San Luis Obispo, CA 93405-5803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F D Ambruoso | Internal Medicine | 179 Twin Ridge Rd, San Luis Obispo, CA 93405 | |
| Amanda Michelle Parreira | Optometry | 894 Meinecke Ave A, San Luis Obispo, CA 93405-1790 | |
| Tyrone G Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Julie L Mcsorley | Physical Therapy | 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791 | |
| Harold D Segal | Neurosurgery | 140 Casa St, San Luis Obispo, CA 93405-1804 | |
| Gayle S Cekada | Internal Medicine | 184 Casa St, San Luis Obispo, CA 93405-1804 | |
| Stephen A Hilty | Internal Medicine | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Eric W Dunlop | General Practice | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Ginger Christianne Cochran | Registered Dietitian Or Nutrition Professional | 148 Casa St, San Luis Obispo, CA 93405-1804 | |
| Kristina N Dilworth | Nurse Practitioner | First Choice Physician Partners | 1064 Murray Ave, San Luis Obispo, CA 93405-1806 |
| Find all physicians in zip 93405 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SAN LUIS OBISPO + GENERAL SURGERY |
Please comment or provide details below to improve the information on David Alfons Bolivar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.