DR. SAMUEL ANTONIO BOLIVAR MD
NPI 1144251067
Internal Medicine in San Bernardino, CA
About Dr. Samuel Antonio Bolivar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL ANTONIO BOLIVAR MD (NPI 1144251067) is an individual internal medicine provider in San Bernardino, California, licensed in California (A41590) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samuel Antonio Bolivar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0896974
Samuel A Bolivar, MD Inc · Riverside, CACertificate of Waiver 05D0710870
Samuel A Bolivar, MD Inc · San Bernardino, CAAreas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Bolivar's NPI number?
The NPI number for Samuel Bolivar is 1144251067. It was assigned to this individual provider in the NPPES registry on July 6, 2006.
Where is Samuel Bolivar located?
Samuel Bolivar practices at 555 N D St Suite 130, San Bernardino, CA 92401. The listed phone number is (909) 888-8154.
What is Samuel Bolivar's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samuel Bolivar enrolled in Medicare?
Yes. Samuel Bolivar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Does Samuel Bolivar hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Samuel Bolivar accept?
Health plans from Blue Cross Blue Shield of Arizona list Samuel Bolivar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Bolivar was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
