Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel A. Bolivar, MD Inc

Organization Primary Care Clinic/Center · NPI 1689082711

Samuel A. Bolivar, MD Inc is a Primary Care Clinic/Center in San Bernardino, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

555 N D St Ste 130
San Bernardino, CA 92401-1305
Phone: (909) 888-8154
Fax: (909) 888-9940
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence A41590 (CA)

Record details

NPI number1689082711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Bolivar — Administrator · (909) 888-8154
NPI enumeratedAugust 1, 2014
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3410 La Sierra Ave, F369, Riverside, CA 92503-5270

Other providers in San Bernardino