SUN KO FNP-C
NPI 1245086586
Nurse Practitioner - Family in North Hollywood, CA

Q: What is Sun Ko's NPI number?

The NPI number for Sun Ko is 1245086586. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Q: What is Sun Ko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sun Ko was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 26, 2024PECOS Enrolled

12215 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606(818) 299-5500 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sun Ko Fnp-c NPPES

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

SUN KO FNP-C (NPI 1245086586) is an individual family provider in North Hollywood, California, licensed in California (95028756) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245086586

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSUN KOCredential: FNP-C

Location Address12215 VICTORY BLVDNorth Hollywood, CA 91606-3206

Mailing Address12215 Victory BlvdNorth Hollywood, CA 91606-3206

Phone(818) 299-5500

Sole ProprietorNo

Enumeration DateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1245086586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95028756

12215 VICTORY BLVD, North Hollywood, CA 91606

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun Ko Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91606 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 5

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

GAYANE AVAGIMIAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)