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

Samuel Alfonso Bolivar, MD

Individual provider Internal Medicine Physician · NPI 1942940697

Samuel Alfonso Bolivar, MD is an Internal Medicine in Los Angeles, California. Graduated from Loma Linda University School of Medicine in 2022, 4 years ago. Practices with The Regents of the University of California, a 1,414-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2022
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

200 UCLA Medical Plz Ste 420
Los Angeles, CA 90095-8358
Phone: (310) 206-6232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A188400 (CA)

Record details

NPI number1942940697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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 2022 (4 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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