Active NPI
Sofia Iacono, NP
- Nurse Practitioner
- Hawthorne, CA
National Provider Identifier
1639095243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95037585
- Practice address
- 12923 Inglewood Ave
Hawthorne, CA 90250-5573 - Phone
- (310) 675-0395
- NPI assigned
- Jun 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95037585 | CA | Primary |
Addresses
Primary practice location
12923 Inglewood Ave
Hawthorne, CA 90250-5573
Mailing address
17575 Yukon Ave
Torrance, CA 90504-3448
Phone (626) 824-5396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajay G. Meka M.D. Inc. | Current | Accepting new patients |
Locations
12923 Inglewood Ave
Ste 1
Hawthorne, CA 90250
Phone (310) 675-0395
12923 Inglewood Ave
Hawthorne, CA 90250
1066 Atlantic Ave
Ste B
Long Beach, CA 90813
Phone (562) 528-8447
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Santa Ana, CA
- NPI 1932214657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1639095243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17575 YUKON AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905043448",
"telephone_number": "626-824-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12923 INGLEWOOD AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505573",
"telephone_number": "310-675-0395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACONO",
"first_name": "SOFIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95037585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.