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DR. JANG HWAN BAE D.O.
NPI 1730614249
Family Medicine in San Diego, CA

Active since April 22, 2017PECOS EnrolledAccepts Medicare Assignment
4510 EXECUTIVE DR STE 215, SAN DIEGO, CA 92121(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Aug 6, 2024, Aug 25, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Jang Hwan Bae D.o. NPPES

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

DR. JANG HWAN BAE D.O. (NPI 1730614249) is an individual family medicine provider in San Diego, California, licensed in California (20A24631) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Rowan University School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1730614249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JANG HWAN BAECredential: D.O.
Location Address4510 EXECUTIVE DR STE 215San Diego, CA 92121-3023
Mailing AddressFile 57326Los Angeles, CA 90074-7326
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 22, 2017
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1730614249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A24631
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4510 EXECUTIVE DR STE 215, San Diego, CA 92121
Open in Google Maps ↗

Secondary Practice Locations 6

Location 116950 Via TazonSan Diego, CA 92127-1607 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 2203 W F StSan Diego, CA 92101-6016 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 32295 Otay Lakes Rd Ste 110Chula Vista, CA 91915-1160 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 41505 Encinitas BlvdEncinitas, CA 92024-2933 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 56030 Village Way Ste 200San Diego, CA 92130-2973 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 6910 Sycamore Ave Ste 270Vista, CA 92081-7852 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jang Hwan Bae D.o. 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 ID547686552
PECOS Enrollment IDI20200820001061, I20251229003979
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
319 services291 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
117 services64 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
107 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TAYLOR BUCHANAN JACKSON FNP
Nurse Practitioner
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (858) 657-6624
DR. ANNA KATHRYN VAN NIEKERK DO
Family Medicine
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
DR. MARINA UDOWENKO D. O.
Family Medicine
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (800) 926-8273

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 Jang Hwan Bae's NPI number?

The NPI number for Jang Hwan Bae is 1730614249. It was assigned to this individual provider in the NPPES registry on April 22, 2017.

Where is Jang Hwan Bae located?

Jang Hwan Bae practices at 4510 Executive Dr Ste 215, San Diego, CA 92121. The listed phone number is (800) 926-8273.

What is Jang Hwan Bae's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jang Hwan Bae enrolled in Medicare?

Yes. Jang Hwan Bae 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.

When was this NPI record last updated?

The NPPES record for Jang Hwan Bae was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.