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: July 19, 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

Medicare Participation & PECOS CMS

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

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
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.

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

The NPI number assigned to this healthcare provider is 1336875061, enumerated as an "individual" on July 26, 2022.

The provider is located at 10139 WOODLEY AVE APT 239 NORTH HILLS, CA 91343 and the phone number is (661) 857-4216.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Sonny Ham is affiliated with: LOST RIVERS MEDICAL CENTER.