SONNY HAM
NPI 1336875061
Nurse Practitioner - Family in North Hills, CA

Active since July 26, 2022PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
10139 WOODLEY AVE APT 239, NORTH HILLS, CA 91343(661) 857-4216 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sonny Ham NPPES

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

SONNY HAM (NPI 1336875061) is an individual family provider in North Hills, California, licensed in California (95021778) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Lost Rivers Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336875061
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSONNY HAM
Location Address10139 WOODLEY AVE APT 239North Hills, CA 91343-1359
Mailing Address10139 Woodley Ave Apt 239North Hills, CA 91343-1359 · (661) 857-4216
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 26, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1336875061 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 · 95021778
10139 WOODLEY AVE APT 239, North Hills, CA 91343

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

Accepted Insurance

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

Sonny Ham 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 ID9739557026
PECOS Enrollment IDI20221117000403, I20251209001628
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

7

Medicare enrollment records show Sonny Ham reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
15031 RINALDI ST
Mission Hills, CA 91345
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1912776329 (California)
  • 1,204 clinicians in this Medicare group
Emergency Medicine
14850 ROSCOE BLVD
Panorama City, CA 91402
  • Reassigned Medicare billing, California enrollment
  • 121 clinicians in this Medicare group
Emergency Medicine
2975 SYCAMORE DR
Simi Valley, CA 93065
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
Emergency Medicine
1300 N VERMONT AVE
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 74 clinicians in this Medicare group
Emergency Medicine
1509 WILSON TER, EMERGENCY DEPARTMENT
Glendale, CA 91206
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
Rural
ARIZONA HIGHWAY 191
Ganado, AZ 86505
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
Critical Access
551 HIGHLAND DR
Arco, ID 83213
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1427062181 (Idaho)
  • 17 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
115 services109 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
41 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lost Rivers Medical Center

Critical Access Hospitals · Arco, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131324
Location551 Highland DriveArco, ID 83213 · Butte County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91343 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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 Sonny Ham's NPI number?

The NPI number for Sonny Ham is 1336875061. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Sonny Ham located?

Sonny Ham practices at 10139 Woodley Ave Apt 239, North Hills, CA 91343. The listed phone number is (661) 857-4216.

What is Sonny Ham's specialty?

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

Is Sonny Ham enrolled in Medicare?

Yes. Sonny Ham 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 Sonny Ham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonny Ham reassigns Medicare benefits to 7 organizations: Cep America - California (Mission Hills, CA), Can Emergency Physicians Medical Group, Inc. (Panorama City, CA), Synergy Observation Specialists PC (Simi Valley, CA), Hollywood Presbyterian Emergency Medical Associates, Inc. (Los Angeles, CA), Glendale Adventist Emergency Physicians Incorporated (Glendale, CA) and 2 more organizations, listed in the Medicare section above. 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 Sonny Ham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonny Ham accept?

Health plans from Select Health list Sonny Ham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sonny Ham affiliated with any hospitals?

According to CMS data, Sonny Ham is affiliated with Lost Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Sonny Ham was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.