Dr Samuel Antonio Bolivar, MD - Medicare Internal Medicine in San Bernardino, CA

Dr Samuel Antonio Bolivar, MD is a medicare enrolled "Internal Medicine" physician in San Bernardino, California. He went to Loma Linda University School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 555 N D St, Suite 130, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 888-8154.

Dr Samuel Antonio Bolivar is licensed to practice in California (license number A41590) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144251067.

Contact Information

Dr Samuel Antonio Bolivar, MD
555 N D St, Suite 130,
San Bernardino, CA 92401-1305
(909) 888-8154
(909) 888-9940

Map and Direction




Physician's Profile

Full NameDr Samuel Antonio Bolivar
GenderMale
SpecialityInternal Medicine
Experience43 Years
Location555 N D St, San Bernardino, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samuel Antonio Bolivar attended and graduated from Loma Linda University School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1144251067
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 04/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860498821
  • Enrollment ID: I20061013000528

Medical Identifiers

Medical identifiers for Dr Samuel Antonio Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144251067NPI-NPPES
00A415900MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A41590 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
La Paz Regional HospitalParker, AZHospital
Parkview Community Hospital Medical CenterRiverside, CAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel Antonio Bolivar allows following entities to bill medicare on his behalf.
Entity NameSamuel A. Bolivar, Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689082711
PECOS PAC ID: 1557684693
Enrollment ID: O20141222002693

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Antonio Bolivar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel Antonio Bolivar, MD
3410 La Sierra Ave # F369,
Riverside, CA 92503-5270

Ph: (909) 888-8154
Dr Samuel Antonio Bolivar, MD
555 N D St, Suite 130,
San Bernardino, CA 92401-1305

Ph: (909) 888-8154

Reviews and Comments


Internal Medicine Doctors in San Bernardino, CA

Dr. Richard James Moyer, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 399 E Highland Ave, Suite #227, San Bernardino, CA 92404
Phone: 909-886-5158    Fax: 909-883-4318
Dr. Hai Ngoc Dao, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8611    Fax: 909-881-5707
Dr. Cecil Caguioa Laqui, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 742 W Highland Ave, San Bernardino, CA 92405
Phone: 909-881-7320    Fax: 909-881-7330
Dr. Amanda Rose Van Mecl, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-881-4520    
Sami Barham Nazzal, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 399 E Highland Ave, Suite 307, San Bernardino, CA 92404
Phone: 909-881-7400    Fax: 909-881-5217
Nooshin Salehi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 565 N Mount Vernon Ave, San Bernardino, CA 92411
Phone: 909-884-9091    Fax: 909-383-7013
Juan Manuel Perez Quintana, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-881-4520    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.