Carlos O Chacon, MD is a
Surgery - Plastic And Reconstructive Surgery physician based in Bonita, California. Carlos O Chacon is licensed to practice in California (license number A98477) and his current practice location is 180 Otay Lakes Rd, 110, Bonita, California. He can be reached at his office (for appointments etc.) via phone at
(858) 633-7546.
NPI number for Carlos O Chacon is 1790126316 and his current mailing address is 384 Minot Ave, Chula Vista, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790126316.
Physician's Profile
Full Name | Carlos O Chacon |
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Gender | Male |
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Speciality | Surgery - Plastic And Reconstructive Surgery |
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Location | 180 Otay Lakes Rd, Bonita, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790126316
- Provider Enumeration Date: 07/11/2013
- Last Update Date: 08/06/2015
Medical Identifiers
Medical identifiers for Carlos O Chacon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790126316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | A98477 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos O Chacon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carlos O Chacon, MD 384 Minot Ave, Chula Vista, CA 91910-2937 Ph: (858) 633-7546 | Carlos O Chacon, MD 180 Otay Lakes Rd, 110, Bonita, CA 91902-2443 Ph: (858) 633-7546 |
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