EUNICE BOLIVAR (M.D.) – Family Medicine Physician, NPI 1811929367

EUNICE BOLIVAR (M.D.) is a healthcare provider. based in San bernardino, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A33374 (CA). The NPI Number for EUNICE BOLIVAR (M.D.) is 1811929367

Main info

Female
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
EUNICE BOLIVAR (M.D.)
NPI
1811929367
Phone
(909) 888-8152
Address
598 NORTH F STREET
Enumeration Date
7 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9097935511
Graduation Year
1976 (50 years ago)
PAC ID
7416036959
Group Practice PAC ID
4880630102
Professional Enrollment ID
I20100415000385
Address ID
CA924103110SA598XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Loading map...

Provider Addresses for EUNICE BOLIVAR (M.D.)

  • North F Street, San Bernardino, San Bernardino County, California, 92405, United States

    SAN BERNARDINO, CA 92410

    Phone: (909) 888-8152

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($31).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100415000385IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3216$0
36415Insertion of needle into vein for collection of blood sample2016$0
View full utilization report →

Insurance plans in this area (ZIP 92410)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880630102View full group profile
NameSpecialtyState
Family PracticeCA
Emergency Medicine, Internal MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to EUNICE BOLIVAR (M.D.)?
NPI 1811929367 is assigned to EUNICE BOLIVAR (M.D.) under the national enumeration system.
Is EUNICE BOLIVAR (M.D.)'s NPI currently valid?
The extract we use shows EUNICE BOLIVAR (M.D.) as active.
What kind of provider is EUNICE BOLIVAR (M.D.)?
The page reflects Family Medicine Physician for EUNICE BOLIVAR (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place EUNICE BOLIVAR (M.D.)?
The snapshot lists San Bernardino, California for EUNICE BOLIVAR (M.D.); download NPPES for the complete set.
Is EUNICE BOLIVAR (M.D.) a real provider?
This page reflects official NPPES data for NPI 1811929367. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

SHANTHARAM PAI (M.D.)

Geriatric Medicine (Family Medicine) Physician
PO BOX 10069
NPI: 1053317537

DR. JOSEPH SCOTT RUSSO (D.O.)

Family Medicine Physician
125, Glastonbury Circuit, Newminster, Point Cook, Melbourne, City of Wyndham, Victoria, 3030, Australia
NPI: 1891791786

PHUC TUAN HUYNH (D.O.)

Family Medicine Physician
2619 S WATERMAN AVE STE B
NPI: 1922005602

DR. JUAN VELASQUEZ (M.D.)

Family Medicine Physician
Arrowhead Regional Medical Center - McKee Family Health Center, 2372, Sterling Avenue, San Bernardino, San Bernardino County, California, 92404, United States
NPI: 1770585192

JUNA TSAO (M.D.)

Family Medicine Physician
East 2nd Street, San Bernardino, San Bernardino County, California, 92401, United States
NPI: 1497747232
Date Place, San Bernardino, San Bernardino County, California, 92404, United States
NPI: 1821084054
PO BOX 10069
NPI: 1649255498

DR. SHARMANE MARIE GRAY (MD)

Family Medicine Physician
PO BOX 10069
NPI: 1477539252

DR. KATRINA CARTER (MD)

Family Medicine Physician
1600, East Citrus Avenue, Warner, Redlands, San Bernardino County, California, 92374, United States
NPI: 1013994102