Jason Bahng, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E6087 Issued in CA

Practice address

1650 Lead Hill Blvd Ste 100
Roseville, CA 95661-3072

Phone

(832) 376-8600

NPI assigned

May 6, 2019

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Podiatry CorpGroup PAC ID 4688035439, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbahng724028@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Podiatry Corp

  dba Wellness Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Roseville, CA
  • NPI 1598526204
  Medicare reassignment Care Compare group NPD
• Wellness Podiatry Corp

  dba Lincoln Podiatry Center

  • Foot & Ankle Surgery Podiatrist
  • Lincoln, CA
  • NPI 1386462083
  NPD
• Wellness Podiatry Corp

  dba Auburn Podiatry

  • Podiatrist
  • Auburn, CA
  • NPI 1912696782

  Foot & Ankle Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1649835562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LEAD HILL BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LEAD HILL BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613072",
            "telephone_number": "832-376-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNG",
        "first_name": "JASON",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6087",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T49-2021",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herma Joey Echavez Bag-Ao, APN
• Arevik Bagdasarian
• Brandy Luissha Baggett
• Judith Ann Bagley, NP
• Arnold Bahizi
• Carolyn Bahoh Javete, PSY.D
• Taylor Baierlein
• Osamah Ahsan Baig
• Logan William Bailey
• Mary Beth Baillie

• Foot & Ankle Surgery Podiatrist in Roseville, CA
• Providers in Roseville, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.