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

Active since April 26, 2024PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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 and is a graduate of Other (2019).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sun Ko Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436699949
PECOS Enrollment IDI20240911002516
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 Reassignments

4

Medicare enrollment records show Sun Ko reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1314 W GLENOAKS BLVD STE 205
Glendale, CA 91201
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group
Primary Care
13443 TELEGRAPH RD
Whittier, CA 90605
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
Primary Care
1451 RIMPAU AVE STE 213
Corona, CA 92879
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
General Practice
3576 ARLINGTON AVE STE 205
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group

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 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 4

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

Nurse Practitioner (Psychiatric/Mental Health)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Nurse Practitioner (Family)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Nurse Practitioner (Acute Care)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Nurse Practitioner
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606

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 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.

Where is Sun Ko located?

Sun Ko practices at 12215 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (818) 299-5500.

What is Sun Ko's specialty?

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

Is Sun Ko enrolled in Medicare?

Yes. Sun Ko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sun Ko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sun Ko reassigns Medicare benefits to 4 organizations: Vital Medical Group, Inc (Glendale, CA), Onyx Medical Group Inc (Whittier, CA), Remedial Patients Care Inc (Corona, CA) and Remedial Medical Services Inc (Riverside, CA). Each 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 Sun Ko'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 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.