Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL A. BOLIVAR, MD INC
NPI 1689082711
Clinic/Center - Primary Care in San Bernardino, CA

Q: What is Samuel A. Bolivar, MD Inc's NPI number?

The NPI number for Samuel A. Bolivar, MD Inc is 1689082711. It was assigned to this organization in the NPPES registry on August 1, 2014.

Q: What is Samuel A. Bolivar, MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since August 01, 2014

555 N D ST, SUITE 130, SAN BERNARDINO, CA 92401(909) 888-8154(909) 888-9940 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2020, Sep 29, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

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About Samuel A. Bolivar, Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL A. BOLIVAR, MD INC (NPI 1689082711) is a healthcare organization registered as a primary care in San Bernardino, California and active in the NPI registry since August 2014. The organization maintains 2 additional practice locations and lists Barbara Bolivar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689082711

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSAMUEL A. BOLIVAR, MD INC

Location Address555 N D ST, SUITE 130San Bernardino, CA 92401-1305

Mailing Address3410 La Sierra Ave, F369Riverside, CA 92503-5270 · (909) 888-8154 · Fax (909) 888-9940

Phone(909) 888-8154

Fax(909) 888-9940

Organization SubpartNo

Authorized OfficialBarbara BolivarAdministrator · (909) 888-8154

Enumeration DateAugust 1, 2014

Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1689082711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in CA · A41590

555 N D ST, San Bernardino, CA 92401

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Secondary Practice Locations 2

Location 110600 Magnolia Ave Ste JRiverside, CA 92505-1819 · Phone (951) 352-3417 · Fax (951) 352-3208

Location 2400 S California Ave Ste CParker, AZ 85344-4426 · Phone (928) 259-1000 · Fax (909) 888-9940

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL ANTONIO BOLIVAR MD

Internal Medicine

555 N D ST, SUITE 130
SAN BERNARDINO, CA 92401

San Bernardino County (909) 888-8154

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 A. Bolivar, MD Inc's NPI number?

The NPI number for Samuel A. Bolivar, MD Inc is 1689082711. It was assigned to this organization in the NPPES registry on August 1, 2014.

Where is Samuel A. Bolivar, MD Inc located?

Samuel A. Bolivar, MD Inc is located at 555 N D St Suite 130, San Bernardino, CA 92401. The listed phone number is (909) 888-8154.

What is Samuel A. Bolivar, MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Samuel A. Bolivar, MD Inc was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.