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

Jason Bahng, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1649835562

Jason Bahng, DPM is a Podiatry in Roseville, California. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2019, 7 years ago. Practices with Wellness Podiatry Corp, a 3-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
7
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
CA, TX
In the registry since
2019
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1650 Lead Hill Blvd Ste 100
Roseville, CA 95661-3072
Phone: (832) 376-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6087 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence T49-2021 (TX)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 3160 (TX)

Record details

NPI number1649835562
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 6, 2019
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1650 Lead Hill Blvd Ste 100, Roseville, CA 95661-3072

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2019 (7 years in practice)
Group practice Wellness Podiatry Corp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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