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

Dr. Samuel Antonio Bolivar, MD

Individual provider Internal Medicine Physician · NPI 1144251067

Dr. Samuel Antonio Bolivar, MD is an Internal Medicine in San Bernardino, California. Graduated from Loma Linda University School of Medicine in 1982, 44 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

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

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A41590 (CA)

Record details

NPI number1144251067
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Bernardino