LA COMMUNITY CARE MEDICAL ASSOCIATES INC
NPI 1801099486
Family Medicine in Hawthorne, CA

Active since June 08, 2007CLIA 05D0937821 · Waiver
11633 HAWTHORNE BLVD STE 103, HAWTHORNE, CA 90250(310) 219-2929(310) 219-2940 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About La Community Care Medical Associates Inc NPPES

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

LA COMMUNITY CARE MEDICAL ASSOCIATES INC (NPI 1801099486) is a healthcare organization registered as a family medicine in Hawthorne, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Augustine Iluore, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1801099486
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLA COMMUNITY CARE MEDICAL
Location Address11633 HAWTHORNE BLVD STE 103Hawthorne, CA 90250-2323
Mailing Address11633 Hawthorne Blvd Ste 103Hawthorne, CA 90250-2323
Fax(310) 219-2940
Organization SubpartNo
Authorized OfficialAugustine IluoreMedical Director · (310) 219-2929
Enumeration DateJune 8, 2007
Last NPPES UpdateApril 14, 2017
✔ NPI 1801099486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A053317
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License A053317 (CA)
11633 HAWTHORNE BLVD STE 103, Hawthorne, CA 90250

Other Names 1

Other NameLa Community Care Medical Associates Inc

Other Identifiers 2

Medicare ID-Type UnspecifiedW14047Medicare Provider Number
MedicaidGR0081270CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Community Care Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to La Community Care Medical Associates Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1336205442
11633 HAWTHORNE BLVD STE 103
Hawthorne, CA 90250
(310) 219-2929
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0937821

La Community Care Medical Associates Inc · Hawthorne, CA
Active · expires Jun 2, 2027
CLIA Number05D0937821
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorAugustine E. Iluore
Laboratory Phone(310) 219-2929
Laboratory LocationLa Community Care Medical Associates Inc11633 Hawthorne Blvd, #103, Hawthorne, CA 90250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 La Community Care Medical's NPI number?

The NPI number for La Community Care Medical is 1801099486. It was assigned to this organization in the NPPES registry on June 8, 2007. The provider is also known as La Community Care Medical Associates Inc.

Where is La Community Care Medical located?

La Community Care Medical is located at 11633 Hawthorne Blvd Ste 103, Hawthorne, CA 90250. The listed phone number is (310) 219-2929.

What is La Community Care Medical's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is La Community Care Medical enrolled in Medicare?

Yes. La Community Care Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Community Care Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to La Community Care Medical. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Community Care Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0937821) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Community Care Medical was last updated on April 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.