Individual provider Active NPI

Jason Homan, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1285064824
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5234 Issued in CA
Practice address
2512 Samaritan CT
Ste a
San Jose, CA 95124-4002
Phone
(408) 358-2666
Fax
(408) 358-7974
NPI assigned
Nov 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5234 CA Primary

Addresses

Primary practice location

2512 Samaritan CT
Ste a
San Jose, CA 95124-4002

Mailing address

2512 Samaritan CT
Ste a
San Jose, CA 95124-4002
Phone (408) 358-2666

Other practice location 1

984 W Foothill Blvd Ste B
Upland, CA 91786-3787
Phone (909) 920-0884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719002549 CA Practitioner - Podiatry 7810280419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jaho Podiatry and Foot Group ApcGroup PAC ID 2769904556, 2 clinicians
Jan David Tepper D P M IncGroup PAC ID 5698839132, 2 clinicians

Practice addresses (Care Compare)

7535 Laurel Canyon Blvd
N Hollywood, CA 91605-3149
Phone (818) 570-5002

984 W Foothill Blvd
Suite B
Upland, CA 91786-3787
Phone (909) 920-0884

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of nail tissue1944
Removal or shaving of skin growth4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5234CAMDOptometrist
E5234CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Center of Socal PC Foot & Ankle Surgery CurrentSince Apr 4, 2025 Accepting new patients
Jan David Tepper, D.P.M., Inc Foot & Ankle Surgery CurrentSince Apr 1, 2025 Accepting new patients
Arman Kirakosian DPM Inc Foot & Ankle Surgery CurrentSince Aug 1, 2016 Accepting new patients
Jaho Podiatry and Foot Group Apc CurrentSince Jan 24, 2025 Accepting new patients
S. Chris Horine DPM & Najwa M Javed, DPM Foot & Ankle Surgery CurrentSince Aug 1, 2016 Accepting new patients

Locations

7535 Laurel Canyon Blvd
North Hollywood, CA 91605
Phone (818) 308-9424

883 Sneath Ln
Ste 160
San Bruno, CA 94066
Phone (650) 588-9189

2512 Samaritan Ct
Ste A
San Jose, CA 95124
Phone (408) 356-8818

984 W Foothill Blvd
Ste B
Upland, CA 91786
Phone (909) 920-0884

984 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 920-0884

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jason.homan.1@16528.direct.athenahealth.com
  • Direct secure messaging: jhoman369457@hisp.ehr.sutterhealth.org
  • Direct secure messaging: jason.homan.p1@direct.fhccgla.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1285064824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244002",
            "telephone_number": "408-358-2666",
            "fax_number": "408-358-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244002",
            "telephone_number": "408-358-2666",
            "fax_number": "408-358-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984 W Foothill Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863787",
            "country_code": "US",
            "telephone_number": "909-920-0884",
            "fax_number": "909-920-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.