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

Carlos O Chacon, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1790126316

Carlos O Chacon, MD is a Plastic and Reconstructive Surgery Physician in Bonita, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

180 Otay Lakes Rd 110
Bonita, CA 91902-2443
Phone: (858) 633-7546
Fax: (760) 634-6785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence A98477 (CA)

Record details

NPI number1790126316
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2013
Last updated in NPPESAugust 6, 2015
Mailing address384 Minot Ave, Chula Vista, CA 91910-2937