Dr Oluwamuyiwa Bolonduro, MD - Medicare Obstetrics & Gynecology in Lancaster, CA

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Dr Oluwamuyiwa Bolonduro, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lancaster, California. His current practice location is 45104 10th St W, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at (562) 867-7999.

Dr Oluwamuyiwa Bolonduro is licensed to practice in California (license number C168133) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215216965.

Contact Information

Dr Oluwamuyiwa Bolonduro, MD
45104 10th St W,
Lancaster, CA 93534
(562) 867-7999
Not Available

Map and Direction




Physician's Profile

Full NameDr Oluwamuyiwa Bolonduro
GenderMale
SpecialityObstetrics & Gynecology
Location45104 10th St W, Lancaster, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215216965
  • Provider Enumeration Date: 08/12/2011
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850605619
  • Enrollment ID: I20200924001235

Medical Identifiers

Medical identifiers for Dr Oluwamuyiwa Bolonduro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215216965NPI-NPPES
300002192MedicaidIN
191360022OtherINMEDICARE PTAN
1215216965MedicaidCA
CA425840OtherCAMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 01078198A (Indiana)Secondary
207V00000XObstetrics & Gynecology C168133 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Oluwamuyiwa Bolonduro allows following entities to bill medicare on his behalf.
Entity NameBorrego Community Health Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144165
PECOS PAC ID: 1759299944
Enrollment ID: O20040122000961
Entity NameSan Marcos Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447446448
PECOS PAC ID: 0749222495
Enrollment ID: O20050524000402
Entity NameJwch Institute Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407808058
PECOS PAC ID: 1850394123
Enrollment ID: O20060807000476
Entity NameObhg California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826
Entity NameOb 24 Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255714671
PECOS PAC ID: 2466761481
Enrollment ID: O20151014000889

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Oluwamuyiwa Bolonduro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Oluwamuyiwa Bolonduro, MD
5650 Jillson St,
Commerce, CA 90040-1482

Ph: (323) 201-4516		Dr Oluwamuyiwa Bolonduro, MD
45104 10th St W,
Lancaster, CA 93534

Ph: (562) 867-7999

Reviews and Comments


Obstetrics & Gynecology Doctors in Lancaster, CA

Dr. Herbert H Keyser, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-949-5000    
Aki Niihara, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 335 E Avenue I, Lancaster, CA 93535
Phone: 323-243-2214    
Laura Martinez,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 45104 10th St W, Lancaster, CA 93534
Phone: 661-941-9543    
James Helfrich Mcmillan, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-949-5000    
Herminia Amezcua, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 44105 15th St W Ste 405, Lancaster, CA 93534
Phone: 661-729-7100    
Mr. John W Birsner Jr., MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-943-4236    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.