Sun Ko, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028756 Issued in CA

Practice address

12215 Victory Blvd
North Hollywood, CA 91606-3206

Phone

(818) 299-5500

NPI assigned

Apr 26, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Onyx Medical Group Inc

  • Primary Care Clinic/Center
  • Whittier, CA
  • NPI 1851191019
  Medicare reassignment NPD
• Remedial Patients Care Inc

  • Primary Care Clinic/Center
  • Corona, CA
  • NPI 1508507229
  Medicare reassignment NPD
• Vital Medical Group, Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1124886437
  Medicare reassignment NPD
• Remedial Medical Services Inc

  • General Practice Physician
  • Riverside, CA
  • NPI 1083216998
  NPD
• Ac and CS

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1659794246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1245086586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063206",
            "telephone_number": "818-299-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "SUN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Kirakosyan
• KKG Recovery Center
• Rena Kleiman
• Brooke Knaack
• Patrick Samuel Knight
• Julie Kochenderfer, MA, OTRL
• Leon Kodabakshian
• Avedis Kojayan
• Vartoohi Kokanian
• Ani Kolangian, PHARMD

• Family Nurse Practitioner in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.