Jason Pon, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 53241 Issued in CA

Practice address

3990 Westerly PL
Suite 160
Newport Beach, CA 92660-2310

Phone

(949) 415-6895

NPI assigned

Jun 6, 2007

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiron Psychological IncGroup PAC ID 9234496308, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Chiron Psychological, Inc

  • Psychologist
  • Irvine, CA
  • NPI 1467984377

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1558564765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 WESTERLY PL",
            "address_2": "SUITE 160",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602310",
            "telephone_number": "949-415-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 WESTERLY PL",
            "address_2": "SUITE 160",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602310",
            "telephone_number": "949-415-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PON",
        "first_name": "JASON",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 53241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polny Chiropractic Corporation
• Bohdan Stephan Polny, D.C.
• Gayle Copeland Polsky, M.D.
• Polyviou Dental Corportation, Inc.
• Marlene Melero Pompa
• Christian-Jeff Mistica Pontiga
• Jessica Ann Poole
• Lisa Louise Popper, LMFT
• Poppy Life Care Foundation, Inc.
• Poppy Life Care Inc

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.