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