Individual provider Active NPI

Alvaro Bolivar, M.D.

  • Surgery Physician
  • San Bernardino, CA
National Provider Identifier
1477578698
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A38312 Issued in CA
Practice address
598 N F St
San Bernardino, CA 92410-3110
Phone
(909) 888-8152
Fax
(909) 884-7530
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A38312 CA
Surgery Physician 208600000X A38312 CA Primary

Addresses

Primary practice location

598 N F St
San Bernardino, CA 92410-3110

Mailing address

598 N F St
San Bernardino, CA 92410-3110
Phone (909) 888-8152

Other practice location 1

590 N Sierra Way
San Bernardino, CA 92410-4817
Phone (909) 495-3595

Other practice location 2

10327 Hole Ave
Riverside, CA 92505-1747
Phone (951) 533-7772

Other identifiers 1

IdentifierTypeStateIssuer
00A383120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000774 CA Practitioner - Family Practice 1052482528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolivar Family Medical Clinic a Medical CorporationGroup PAC ID 4880630102, 3 clinicians

Practice addresses (Care Compare)

590 N Sierra Way
San Bernardino, CA 92410-4817
Phone (909) 495-3595

598 N F St
San Bernardino, CA 92410-3110
Phone (909) 793-5511

Hospital & facility affiliations

  • Med Care Plus Home Health Inc Home health agency, Pasadena, CA, CCN 058155
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38312CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bolivar Family Medical Clinic a Medical Corporation CurrentSince Jan 1, 2003 Accepting new patients
Bolivar Family Medical Clinic a Medical Corporation Surgery CurrentSince Jan 1, 2013 Accepting new patients
Quality Care Ipa Inland Empire, Inc CurrentSince Feb 22, 2014 Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

10327 Hole Ave
Riverside, CA 92505
Phone (909) 351-1600

590 N Sierra Way
San Bernardino, CA 92410
Phone (909) 495-3595

598 N F St
Sn Bernrdno, CA 92410
Phone (909) 888-8152

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1477578698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 N F ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103110",
            "telephone_number": "909-888-8152",
            "fax_number": "909-884-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N F ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103110",
            "telephone_number": "909-888-8152",
            "fax_number": "909-884-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 N Sierra Way",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924104817",
            "country_code": "US",
            "telephone_number": "909-495-3595",
            "fax_number": "909-763-2544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10327 Hole Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925051747",
            "country_code": "US",
            "telephone_number": "951-533-7772",
            "fax_number": "951-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIVAR",
        "first_name": "ALVARO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A38312",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A38312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A383120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.