OrganizationActive
Divino Plastic Surgery, Inc.
NPI 1629275946 · Surgery Physician · Bonita, CA
Divino Plastic Surgery, Inc. is a Surgery Physician organization in Bonita, CA (NPI 1629275946).
Provider details
- NPI number
- 1629275946
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Chacon, President(858) 633-7546
- License
- A98477 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
180 Otay Lakes Rd
Suite #110
Bonita, CA 91902-2443
Phone: (858) 633-7546
Approximate (ZIP-level) locationGet directions
Mailing address
180 Otay Lakes Rd
Bonita, CA 91902-2443
Registry dates
- Enumerated
- 2007-06-29
- Last updated
- 2013-08-05
Frequently asked questions
- What is Divino Plastic Surgery, Inc.'s NPI number?
- Divino Plastic Surgery, Inc.'s National Provider Identifier (NPI) is 1629275946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divino Plastic Surgery, Inc.?
- Divino Plastic Surgery, Inc. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Divino Plastic Surgery, Inc. located?
- Divino Plastic Surgery, Inc.'s practice location on file with NPPES is 180 Otay Lakes Rd, Bonita, CA 91902-2443.
- What is Divino Plastic Surgery, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Divino Plastic Surgery, Inc. is (858) 633-7546.
- Who is the authorized official for Divino Plastic Surgery, Inc.?
- The authorized official listed on Divino Plastic Surgery, Inc.'s NPPES record is Carlos Chacon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divino Plastic Surgery, Inc.'s NPI active?
- Yes — Divino Plastic Surgery, Inc.'s NPI (1629275946) is active in the NPPES registry as of the last update on 2013-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.