Nicole Marie Ham

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

23357 Mobile St
West Hills, CA 91307-3322

Phone

(805) 433-2119

Fax

(805) 433-2119

NPI assigned

Oct 19, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1871004697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23357 MOBILE ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073322",
            "telephone_number": "805-433-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23357 MOBILE ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073322",
            "telephone_number": "805-433-2119",
            "fax_number": "805-433-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Hadj Smaine, DO
• Christopher Nemer Hage, M.D.
• Gelyce Hairston, MSW
• Hallmark West Hills
• James Ham, D.D.S.
• Mahsa Hamedani-Chadorchi, LMFT
• Elesia Hampton
• Ethan Qilong Han, M.D.
• Hand Therapy
• Hanita Sidana, DMD, Inc.

• All providers in West Hills, CA
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.