Sonny Ham

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021778 Issued in CA

Practice address

10139 Woodley Ave Apt 239
North Hills, CA 91343-1359

Phone

(661) 857-4216

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

Yes

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, AZ, ID3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Can Emergency Physicians Medical Group IncGroup PAC ID 8820304462, 49 clinicians

Glendale Adventist Emergency Physicians IncorporatedGroup PAC ID 1254563869, 26 clinicians

Lost Rivers Medical CenterGroup PAC ID 7810807427, shared by 4 NPIs, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lost Rivers Medical Center Hospital, Arco, ID, CCN 131324
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sonny.ham.1@11894.direct.athenahealth.com

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.

• Can Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Panorama City, CA
  • NPI 1265810006

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Glendale Adventist Emergency Physicians Incorporated

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1679907869
  Medicare reassignment Care Compare group
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  Multi-Specialty

  Medicare reassignment NPD
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843

  Multi-Specialty

  Medicare reassignment NPD
• Hollywood Presbyterian Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1972826931

  Multi-Specialty

  Medicare reassignment NPD
• Lost Rivers Medical Center

  • Critical Access Hospital
  • Arco, ID
  • NPI 1114925047
  Medicare reassignment NPD
• Lost Rivers Medical Center

  • Family Medicine Physician
  • Arco, ID
  • NPI 1427062181

  Multi-Specialty

  Medicare reassignment NPD
• Navajo Health Foundation-Sage Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Ganado, AZ
  • NPI 1477735777

  Multi-Specialty

  Medicare reassignment NPD
• Synergy Observation Specialists PC

  • Emergency Medicine Physician
  • Simi Valley, CA
  • NPI 1023773587
  Medicare reassignment
• Can Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Tustin, CA
  • NPI 1386018356

  Multi-Specialty

  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1144849530

  Multi-Specialty

  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Porterville, CA
  • NPI 1780049080

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Lost Rivers Medical Center

  • Critical Access Hospital
  • Arco, ID
  • NPI 1114925047
  Care Compare affiliation

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1336875061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 WOODLEY AVE APT 239",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431359",
            "telephone_number": "661-857-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10139 WOODLEY AVE APT 239",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431359",
            "telephone_number": "661-857-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "SONNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela K Guy, PHD
• Maritza Guzman, ASW
• Monica Esther Guzman
• Rudy Renard Hagood
• Hak Medical Consulting
• Caitilin Marie Harbecke, LISW
• Theresa Harding
• Jana Harmon
• Harmony Garden of North Hills Inc
• Lyn Dee Harrelson, CCC-SLP

• Family Nurse Practitioner in North Hills, CA
• Providers in North Hills, 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 Jul 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.