DR. OLUWAMUYIWA BOLONDURO M.D
NPI 1215216965
Obstetrics & Gynecology in Lancaster, CA
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
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Oluwamuyiwa Bolonduro reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90029
- Reassigned Medicare billing, California enrollment
- 138 clinicians in this Medicare group
West Covina, CA 91790
- Reassigned Medicare billing, California enrollment
- 114 clinicians in this Medicare group
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 49 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Oluwamuyiwa Bolonduro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Oluwamuyiwa Bolonduro reassigns Medicare benefits to 4 organizations: Jwch Institute, Inc. (Los Angeles, CA), Emanate Health Medical Care Foundation (West Covina, CA), San Marcos Medical Group Inc (Fontana, CA) and Obhg California, P.C. (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oluwamuyiwa Bolonduro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Dr. Oluwamuyiwa Bolonduro, M.D · NPI 1215216965
Obstetrics & Gynecology physician in Lancaster, California. Individual provider, active in the CMS NPPES registry since August 12, 2011.
## Identity
- **NPI:** 1215216965 (Entity type: Individual)
- **Enumerated:** August 12, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** C168133 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 45104 10TH ST W, Lancaster, CA 93534
- **Phone:** (562) 867-7999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Jwch Institute, Inc. (NPI 1598829350, Los Angeles, CA); Emanate Health Medical Care Foundation (NPI 1467195073, West Covina, CA); San Marcos Medical Group Inc (NPI 1447446448, Fontana, CA); Obhg California, P.C. (NPI 1215258892, Greenville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 5, 2023
- **Other identifiers:** Medicaid 300002192 (IN); Other 191360022 (IN); Medicaid 1215216965 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1215216965) · Data from the CMS NPPES public registry.