Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Michael Bacha, MD

Individual provider Pediatrics Physician · NPI 1477711737

Dr. Jason Michael Bacha, MD is a Pediatrics Physician in Houston, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1102 Bates Ave Ste 630
Houston, TX 77030-2623
Phone: (832) 822-1038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 498-7103

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A108974 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence NOT YET ISSUED (CA)

Record details

NPI number1477711737
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2008
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address2300 Nottingham Ct, Fort Collins, CO 80526-5230

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