DR. OLUWAMUYIWA BOLONDURO M.D
NPI 1215216965
Obstetrics & Gynecology in Lancaster, CA

Active since August 12, 2011PECOS EnrolledAccepts Medicare Assignment
34.58/100
CMS Quality Rating
45104 10TH ST W, LANCASTER, CA 93534(562) 867-7999 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Nov 18, 2022, Oct 10, 2022 and 4 more (7 updates tracked since 2017).

About Dr. Oluwamuyiwa Bolonduro M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLUWAMUYIWA BOLONDURO M.D (NPI 1215216965) is an individual obstetrics & gynecology provider in Lancaster, California, licensed in California (C168133) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1215216965
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. OLUWAMUYIWA BOLONDUROCredential: M.D
Location Address45104 10TH ST WLancaster, CA 93534
Mailing Address5650 Jillson StCommerce, CA 90040-1482 · (323) 201-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 12, 2011
Last NPPES UpdateSeptember 5, 20237 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1215216965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in CA · C168133 Licensed in IN · 01078198A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
45104 10TH ST W, Lancaster, CA 93534

Other Names 1

Former Name (1)Muyiwa Bolorunduro

Secondary Practice Locations 3

Location 11700 N Rose Ave Ste 280Oxnard, CA 93030-7645 · Phone (805) 384-8071 · Fax (805) 278-6477
Location 22309 Antonio AveCamarillo, CA 93010-1414 · Phone (805) 389-5800 · Fax (805) 256-7840
Location 31600 N Rose AveOxnard, CA 93030-3722 · Phone (805) 988-2500 · Fax (805) 256-7840

Other Identifiers 4

Medicaid300002192IN
Other191360022IN · Medicare Ptan
Medicaid1215216965CA
OtherCA425840CA · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Oluwamuyiwa Bolonduro M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850605619
PECOS Enrollment IDI20200924001235
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

34.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15.43
Promoting Interoperability0
Improvement Activities20
Cost63.09

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
45104 10TH ST W
LANCASTER, CA 93534
Counselor
45104 10TH ST W
LANCASTER, CA 93534
Internal Medicine
45104 10TH ST W
LANCASTER, CA 93534
Family Medicine
45104 10TH ST W
LANCASTER, CA 93534
Case Management
45104 10TH ST W
LANCASTER, CA 93534
Specialist
45104 10TH ST W
LANCASTER, CA 93534
Case Manager/Care Coordinator
45104 10TH ST W
LANCASTER, CA 93534
Obstetrics & Gynecology (Obstetrics)
45104 10TH ST W
LANCASTER, CA 93534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwamuyiwa Bolonduro's NPI number?

The NPI number for Oluwamuyiwa Bolonduro is 1215216965. It was assigned to this individual provider in the NPPES registry on August 12, 2011. The provider is also known as Muyiwa Bolorunduro.

Where is Oluwamuyiwa Bolonduro located?

Oluwamuyiwa Bolonduro practices at 45104 10th St W, Lancaster, CA 93534. The listed phone number is (562) 867-7999.

What is Oluwamuyiwa Bolonduro's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Oluwamuyiwa Bolonduro enrolled in Medicare?

Yes. Oluwamuyiwa Bolonduro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Oluwamuyiwa Bolonduro was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.