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DIVINO PLASTIC SURGERY, INC.
NPI 1629275946
Surgery in Bonita, CA

Active since June 29, 2007
180 OTAY LAKES RD, SUITE #110, BONITA, CA 91902(858) 633-7546 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divino Plastic Surgery, Inc. NPPES

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

DIVINO PLASTIC SURGERY, INC. (NPI 1629275946) is a healthcare organization registered as a surgery in Bonita, California and active in the NPI registry since June 2007. The organization lists Carlos Chacon, President, as its authorized official.

NPPES Registry Identity

NPI1629275946
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDIVINO PLASTIC SURGERY, INC.
Location Address180 OTAY LAKES RD, SUITE #110Bonita, CA 91902-2443
Mailing Address180 Otay Lakes Rd, Suite #110Bonita, CA 91902-2443
Phone(858) 633-7546
Organization SubpartNo
Authorized OfficialCarlos ChaconPresident · (858) 633-7546
Enumeration DateJune 29, 2007
Last NPPES UpdateAugust 5, 2013
✔ NPI 1629275946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A98477
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
180 OTAY LAKES RD, Bonita, CA 91902
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

DR. FRANCISCO MONDRAGON D.D.S.
Dentist (General Practice)
180 OTAY LAKES RD, SUITE 206
BONITA, CA 91902
San Diego County (619) 475-8222
DR. BARZIN TOM MASSARAT DDS
Dentist (Endodontics)
180 OTAY LAKES RD
BONITA, CA 91902
San Diego County (619) 479-6050
DR. VITALIY JACOB BERGER DDS
Dentist (General Practice)
180 OTAY LAKES RD, 204
BONITA, CA 91902
San Diego County (619) 479-2111
MS. KAYE PESAVENTO LCSW,BCD
Social Worker (Clinical)
180 OTAY LAKES RD, SUITE 107
BONITA, CA 91902
San Diego County (619) 227-5079
FABRIEL D BURQUEZ DDS
Dentist (General Practice)
180 OTAY LAKES RD, STE210B
BONITA, CA 91902
San Diego County (619) 479-4457
BONITA POINT FAMILY OPTOMETRY, INC.
Optometrist
180 OTAY LAKES RD, SUITE 201
BONITA, CA 91902
San Diego County (619) 267-9900
DR. SIVATHILAKA S GANESH MD
Pediatrics
180 OTAY LAKES RD, SUITE 300
BONITA, CA 91902
San Diego County (619) 472-1000
DR. CARLOS M QUIROS MD
Family Medicine
180 OTAY LAKES RD, SUITE 300
BONITA, CA 91902
San Diego County (619) 472-1000

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 Divino Plastic Surgery, Inc.'s NPI number?

The NPI number for Divino Plastic Surgery, Inc. is 1629275946. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Divino Plastic Surgery, Inc. located?

Divino Plastic Surgery, Inc. is located at 180 Otay Lakes Rd Suite #110, Bonita, CA 91902. The listed phone number is (858) 633-7546.

What is Divino Plastic Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Divino Plastic Surgery, Inc. was last updated on August 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.