JASON PON M.S.
NPI 1558564765
Marriage & Family Therapist in Newport Beach, CA

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
3990 WESTERLY PL, SUITE 160, NEWPORT BEACH, CA 92660(949) 415-6895 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Pon M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON PON M.S. (NPI 1558564765) is an individual marriage & family therapist in Newport Beach, California, licensed in California (MFC 53241) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1558564765
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJASON PONCredential: M.S.
Location Address3990 WESTERLY PL, SUITE 160Newport Beach, CA 92660-2310
Mailing Address3990 Westerly Pl, Suite 160Newport Beach, CA 92660-2310 · (949) 415-6895
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 6, 2007
Last NPPES UpdateDecember 4, 2013
✔ NPI 1558564765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 53241
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3990 WESTERLY PL, Newport Beach, CA 92660

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Pon M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395888176
PECOS Enrollment IDI20240102001417
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jason Pon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
19742 MACARTHUR BLVD STE 135
Irvine, CA 92612
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
3990 WESTERLY PL, SUITE 160
NEWPORT BEACH, CA 92660
Psychologist (Clinical)
3990 WESTERLY PL, SUITE 160
NEWPORT BEACH, CA 92660
Psychologist (Clinical)
3990 WESTERLY PL, SUITE 185
NEWPORT BEACH, CA 92660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Pon's NPI number?

The NPI number for Jason Pon is 1558564765. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Jason Pon located?

Jason Pon practices at 3990 Westerly Pl Suite 160, Newport Beach, CA 92660. The listed phone number is (949) 415-6895.

What is Jason Pon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jason Pon enrolled in Medicare?

Yes. Jason Pon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jason Pon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Pon reassigns Medicare benefits to Chiron Psychological, Inc (Irvine, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Pon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Pon was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.