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DR. SUNG WAN HAM M.D.
NPI 1790929164
Surgery - Vascular Surgery in Harbor City, CA

Active since April 28, 2009PECOS EnrolledAccepts Medicare Assignment
1050 PACIFIC COAST HWY FL 2, HARBOR CITY, CA 90710(310) 602-7927(424) 328-2634 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2023, Nov 30, 2021, May 22, 2018 (3 updates tracked since 2018).

About Dr. Sung Wan Ham M.d. NPPES

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

DR. SUNG WAN HAM M.D. (NPI 1790929164) is an individual vascular surgery provider in Harbor City, California, licensed in California (A103684) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2006).

NPPES Registry Identity

NPI1790929164
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. SUNG WAN HAMCredential: M.D.
Location Address1050 PACIFIC COAST HWY FL 2Harbor City, CA 90710-3509
Mailing Address1050 Pacific Coast Hwy Fl 2Harbor City, CA 90710-3509 · (310) 602-7927 · Fax (424) 328-2634
Phone(310) 602-7927
Fax(424) 328-2634
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2006
Enumeration DateApril 28, 2009
Last NPPES UpdateMay 22, 20233 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1790929164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CA · A103684
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License A103684 (CA)
1050 PACIFIC COAST HWY FL 2, Harbor City, CA 90710
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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

Dr. Sung Wan Ham M.d. 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 ID5193870160
PECOS Enrollment IDI20090827000655
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 Reassignment

Medicare enrollment records show Sung Ham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.2 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

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 90710 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sung Ham's NPI number?

The NPI number for Sung Ham is 1790929164. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Sung Ham located?

Sung Ham practices at 1050 Pacific Coast Hwy Fl 2, Harbor City, CA 90710. The listed phone number is (310) 602-7927.

What is Sung Ham's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Sung Ham enrolled in Medicare?

Yes. Sung 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 organization bills Medicare for Sung Ham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sung Ham reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, CA). The 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 Sung Ham'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 Sung Ham was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.