BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION
NPI 1740507607
General Practice in San Bernardino, CA
About Bolivar Family Medical Clinic A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION (NPI 1740507607) is a healthcare organization registered as a general practice in San Bernardino, California and active in the NPI registry since April 2010. The organization lists Alvaro Bolivar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bolivar Family Medical Clinic A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Bolivar Family Medical Clinic A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bolivar Family Medical Clinic A Medical Corporation's NPI number?
The NPI number for Bolivar Family Medical Clinic A Medical Corporation is 1740507607. It was assigned to this organization in the NPPES registry on April 30, 2010.
Where is Bolivar Family Medical Clinic A Medical Corporation located?
Bolivar Family Medical Clinic A Medical Corporation is located at 598 N F St, San Bernardino, CA 92410. The listed phone number is (909) 888-5552.
What is Bolivar Family Medical Clinic A Medical Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Bolivar Family Medical Clinic A Medical Corporation enrolled in Medicare?
Yes. Bolivar Family Medical Clinic A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bolivar Family Medical Clinic A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Bolivar Family Medical Clinic A Medical Corporation, in Emergency Medicine, Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bolivar Family Medical Clinic A Medical Corporation was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Bolivar Family Medical Clinic A Medical Corporation · NPI 1740507607
General Practice organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since April 30, 2010.
## Identity
- **NPI:** 1740507607 (Entity type: Organization)
- **Enumerated:** April 30, 2010
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Alvaro Bolivar, OWNER
## Practice location
- **Address:** 598 N F ST, San Bernardino, CA 92410-3110
- **Phone:** (909) 888-5552 · **Fax:** (909) 884-7530
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Emergency Medicine (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1740507607) · Data from the CMS NPPES public registry.