Quality Care Ipa Inland Empire, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A38312 Issued in CA

Legal business name

QUALITY CARE IPA INLAND EMPIRE, INC

Practice address

590 N Sierra Way
San Bernardino, CA 92410-4817

Phone

(909) 495-3595

Fax

(909) 763-2544

NPI assigned

Apr 23, 2013

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alvaro Bolivar, MDNPI 1477578698

Title

Owner

Phone

(909) 888-8152

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alvaro Bolivar, M.D.

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1477578698
  Medicare reassignment NPD Authorized official
• David Alfonso Bolivar, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1801830609
  Medicare reassignment NPD

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1881038628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104817",
            "telephone_number": "909-495-3595",
            "fax_number": "909-763-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104817",
            "telephone_number": "909-495-3595",
            "fax_number": "909-763-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE IPA INLAND EMPIRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "BOLIVAR",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-888-8152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A38312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396998944",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Purposely Chosen, Inc. (Born for Nia Maternity Home - San Bernardino)
• Q & M Physician Medical Corporation (University Urgent Care)
• Omeera Qadir
• Rami Qaqish
• Quadmed Medical Clinics of California, Inc.
• Sarah Qualls
• Makayla Quarles
• Maribel Quebec
• Suleima Quesada
• Adrian Martin Quezada, FNP

• Specialist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.