Bolivar Family Medical Clinic a Medical Corporation

PAC ID

4880630102The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

CA

Enrollments

1

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Bolivar Family Medical Clinic a Medical Corporation

  • Specialist
  • Riverside, CA
  • NPI 1215991534
• Bolivar Family Medical Clinic a Medical Corporation

  • General Practice Physician
  • San Bernardino, CA
  • NPI 1740507607

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (3).

• Alvaro Bolivar, M.D.

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1477578698
• David Alfonso Bolivar, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1801830609
• Eunice Bolivar, M.D.

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1811929367
• Jesse J. Jacquez, P.A.-C.

  • Medical Physician Assistant
  • Colton, CA
  • NPI 1285644294
• Lyzette Christine Sanchez, FNP

  • Nurse Practitioner
  • Winchester, CA
  • NPI 1669193199
• Cynthia Youpele, FNP

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1669850053

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.