Active NPI
Asia Nicole Pon, AU.D.
- Audiologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU3619
- Practice address
- 1640 Marengo St Ste 600
Los Angeles, CA 90033-1056 - Phone
- (323) 442-5501
- NPI assigned
- Sep 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU3619 | CA | |
| Audiologist | 231H00000X | AU3619 | CA | Primary |
Addresses
Primary practice location
1640 Marengo St Ste 600
Los Angeles, CA 90033-1056
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5100
Other practice location 1
999 W 7th St
Oxnard, CA 93030-6757
Phone (805) 870-4498
Other practice location 2
3180 Willow Ln Ste 218
Thousand Oaks, CA 91361-4992
Phone (805) 870-4498
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asia.pon@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
Hospital & facility affiliations
- Keck Hospital of Usc
- Usc Kenneth Norris Jr Cancer Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3619 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
9033 Wilshire Blvd
Ste 305
Beverly Hills, CA 90211
Phone (310) 278-0656
1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335
1450 San Pablo St
Ste 5100
Los Angeles, CA 90033
Phone (323) 409-7316
1640 Marengo St
Ste 600
Los Angeles, CA 90033
Phone (213) 764-2843
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1114695012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 MARENGO ST STE 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331056",
"telephone_number": "323-442-5501"
}
],
"practiceLocations": [
{
"address_1": "999 W 7th St",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930306757",
"country_code": "US",
"telephone_number": "805-870-4498",
"fax_number": "805-870-4625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3180 Willow Ln Ste 218",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913614992",
"country_code": "US",
"telephone_number": "805-870-4498",
"fax_number": "805-870-4625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PON",
"first_name": "ASIA",
"middle_name": "NICOLE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU3619",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3619",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asia.pon@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1520 San Pablo St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900335310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.