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

Dr. Theodore John Chaconas, MD

Individual provider Pediatrics Physician · NPI 1013069806

Dr. Theodore John Chaconas, MD is a Pediatrics Physician in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

747 52nd St
Oakland, CA 94609-1809
Phone: (510) 428-3237
Fax: (510) 601-3979
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G065093 (CA)

Record details

NPI number1013069806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address747 52nd St, Oakland, CA 94609-1809

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