Julio Miguel Bolivar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110756 Issued in CA

Practice address

24671 Alamitos Dr
Loma Linda, CA 92354-2701

Phone

(703) 371-3892

NPI assigned

Sep 16, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1962239772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24671 ALAMITOS DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542701",
            "telephone_number": "703-371-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24671 ALAMITOS DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542701",
            "telephone_number": "703-371-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVAR",
        "first_name": "JULIO",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamille Bogan
• Sharon Ann Boggs, RDH
• Shelly Marie Bogue, MD
• Thomas Whittaker Bohr, M.D.
• Warren Boling, M.D.
• Lisa Bolla, NP
• Ricky Bonar, DNP, PMHNP-BC
• Roxanne Bondoc
• Bones Spine Surgery Inc
• Woo Bin Bong

• General Practice Dentistry in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.