Samuel A Bolivar (NPI# 1144251067, PAC ID# 2860498821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144251067 |
| PAC ID by PECOS | 2860498821 |
| Professional Enrollment ID | I20061013000528 |
| Full Name | Samuel A Bolivar |
| Address |
555 N D St Suite 130 San Bernardino CA 92401-1317 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050102 | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10600 Magnolia Ave J, Riverside, CA 92505-1819 | ||
| 555 N D St, Suite 130, San Bernardino, CA 92401-1317 |
| Street Address |
555 N D ST SUITE 130 |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92401-1317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uzair Zia Siddiqui | Family Medicine | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Luis A Santana | Physician Assistant | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Donald Albert Underwood | Family Medicine | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Sanaa I Ligons | Family Medicine | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Ruth A Tanyi | Nurse Practitioner | 577 N D St, Suite 101, San Bernardino, CA 92401-1326 | |
| Esteban S Poni | General Practice | 570 W 4th St, Suite 101, San Bernardino, CA 92401-1438 | |
| Hoang-chuong N Vu | Family Medicine | Baseline Medical Clinic, Inc | 330 N D St, Suite 300, San Bernardino, CA 92401-1522 |
| Vergil Duane Sisson | General Practice | Baseline Medical Clinic, Inc | 330 N D St, San Bernardino, CA 92401-1522 |
| Barbara A Stanfield | Chiropractic | 123 N E St, San Bernardino, CA 92401-1921 |
| City | SAN BERNARDINO |
| Zip Code | 92401 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN BERNARDINO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Samuel A 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.