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MRS. COLLEEN MARIE BACON NP
NPI 1184903270
Nurse Practitioner - Family in San Juan Capistrano, CA

Active since August 08, 2011
30210 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675(949) 493-7337(949) 493-1418 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Colleen Marie Bacon Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. COLLEEN MARIE BACON NP (NPI 1184903270) is an individual family provider in San Juan Capistrano, California, licensed in California (357546) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1184903270
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. COLLEEN MARIE BACONCredential: NP
Location Address30210 RANCHO VIEJO RDSan Juan Capistrano, CA 92675-1574
Mailing Address24422 Avenida De La Carlota Ste 300Laguna Hills, CA 92653-3628 · (949) 599-2434 · Fax (949) 599-2430
Phone(949) 493-7337
Fax(949) 493-1418
Sole ProprietorNo
Enumeration DateAugust 8, 2011
Last NPPES UpdateMay 26, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1184903270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 357546
30210 RANCHO VIEJO RD, San Juan Capistrano, CA 92675
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOROTHY A TAGAN RN CPNP
Nurse Practitioner (Pediatrics)
30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
JOHN H CARRUTH MD
Pediatrics
30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
TLC PEDIATRICS MEDICAL GROUP
Specialist
30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
MS. JEANNE MARIE MCENTIRE NP
Nurse Practitioner (Pediatrics)
30210 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
LYDIA A CHAPELSKY MD
Pediatrics
30210 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-7337
DR. BRADFORD J. STAPH DDS
Dentist (General Practice)
30210 RANCHO VIEJO RD, SUITE B
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 493-8118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Bacon's NPI number?

The NPI number for Colleen Bacon is 1184903270. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Colleen Bacon located?

Colleen Bacon practices at 30210 Rancho Viejo Rd, San Juan Capistrano, CA 92675. The listed phone number is (949) 493-7337.

What is Colleen Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Colleen Bacon was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.