Augustine Iluore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53317 Issued in CA

Practice address

11633 Hawthorne Blvd Ste 103
Hawthorne, CA 90250-2323

Phone

(310) 219-2929

Fax

(310) 219-2940

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: General Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Community Care Medical

  • Family Medicine Physician
  • Hawthorne, CA
  • NPI 1801099486
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1336205442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD STE 103",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502323",
            "telephone_number": "310-219-2929",
            "fax_number": "310-219-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD STE 103",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502323",
            "telephone_number": "310-219-2929",
            "fax_number": "310-219-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILUORE",
        "first_name": "AUGUSTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Iamaleava
• Elizabeth Ibarra, MSN, FNP-C
• Ideal Home Care
• Teddy Idehen, BSC, COUNSELOR
• Jude Emeka Ikegbu, PHARM D
• Imperial Crest Healthcare Center, LLC
• Florizza B. Infante, B.S.
• Rhonda Beth Infante, DNP, APRN, FNP-BC
• Elvira Alinea Inocentes, DDS
• Integrated Therapy Solutions

• Internal Medicine Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.