Active NPI
Tiffanie Melumar Pon, OTR/L
- Occupational Therapist
- Glendale, CA
National Provider Identifier
1003896135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8386
- Practice address
- 516 Salem St
Glendale, CA 91203-2194 - Phone
- (415) 509-4089
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8386 | CA | Primary |
Addresses
Primary practice location
516 Salem St
Glendale, CA 91203-2194
Mailing address
1566 26TH Ave
San Francisco, CA 94122-3218
Phone (415) 681-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8386 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003896135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1566 26TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223218",
"telephone_number": "415-681-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 SALEM ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032194",
"telephone_number": "415-509-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PON",
"first_name": "TIFFANIE",
"middle_name": "MELUMAR",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "8386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.