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SOFIA IACONO NP
NPI 1639095243
Nurse Practitioner in Hawthorne, CA

Active since June 26, 2026PECOS Enrolled
12923 INGLEWOOD AVE, HAWTHORNE, CA 90250(310) 675-0395 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sofia Iacono Np NPPES

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

SOFIA IACONO NP (NPI 1639095243) is an individual nurse practitioner in Hawthorne, California, licensed in California (95037585) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639095243
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSOFIA IACONOCredential: NP
Location Address12923 INGLEWOOD AVEHawthorne, CA 90250-5573
Mailing Address17575 Yukon AveTorrance, CA 90504-3448 · (626) 824-5396
Phone(310) 675-0395
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1639095243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95037585
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12923 INGLEWOOD AVE, Hawthorne, CA 90250
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sofia Iacono Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688133499
PECOS Enrollment IDI20260821004782
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.

Medicare Billing Reassignment

Medicare enrollment records show Sofia Iacono reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ajay G. Meka M.D. Inc.
31 mi
Internal Medicine
201 S BROADWAY
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Ajay G Meka MD Inc
  • 12 clinicians in this Medicare group
NPI 1932214657 (714) 571-4941

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 90250 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

THANH PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
12923 INGLEWOOD AVE, STE 2
HAWTHORNE, CA 90250
Los Angeles County (310) 973-0321
MINH PHUONG DO, D.M.D. INC.
Dentist (General Practice)
12923 INGLEWOOD AVE, SUITE 3
HAWTHORNE, CA 90250
Los Angeles County (310) 679-6464
POOJA ASWANI DENTAL CORPORATION
Clinic/Center (Dental)
12923 INGLEWOOD AVE, #3
HAWTHORNE, CA 90250
Los Angeles County (310) 263-1030

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 Sofia Iacono's NPI number?

The NPI number for Sofia Iacono is 1639095243. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Sofia Iacono located?

Sofia Iacono practices at 12923 Inglewood Ave, Hawthorne, CA 90250. The listed phone number is (310) 675-0395.

What is Sofia Iacono's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sofia Iacono enrolled in Medicare?

Yes. Sofia Iacono is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sofia Iacono's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Iacono reassigns Medicare benefits to Ajay G. Meka M.D. Inc. (Santa Ana, CA). The 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 Sofia Iacono'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 Sofia Iacono was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.