Colin Bacorn, MD
Individual provider Active NPI Ophthalmology Physician · Chula Vista, CA
NPI 1932640109 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1932640109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- A159867 (CA)
- Practice address
- 835 Third Ave
Chula Vista, CA 91911-1352 - Phone
- (619) 425-7755
- NPI assigned
- Mar 20, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Washington University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- California Retina Associates, LP
Practice addresses (Care Compare)
27315 Jefferson Ave
Suite F
Temecula, CA 92590-5609
Phone (619) 425-7755
Hospital & facility affiliations
- El Centro Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250819001147 | CA | Practitioner - Ophthalmology | 9830590405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159867 | CA | MD | Ophthalmology Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Retina Associates, LP | Ophthalmology | Current |
Accepting new patients |
| Afsaneh Amini, O.D., a Professional Optometric Corporation | Current |
Accepting new patients | |
| Concierge Anesthesia | Past |
Accepting new patients | |
| El Centro Regional Medical Center | Past |
Accepting new patients | |
| Friel Prosthetics Inc., Dba | Past |
Accepting new patients |
Locations
835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755
1452 S La Brucherie Rd
#A
El Centro, CA 92243
1498 S La Brucherie Rd
#A
El Centro, CA 92243
Phone (619) 425-7755
1498 S La Brucherie Rd
El Centro, CA 92243
Phone (858) 775-5553
1118 W Valley Pkwy
Escondido, CA 92025
Phone (619) 425-7755
27315 Jefferson Ave
Ste F
Temecula, CA 92590
27315 Jefferson Ave
Temecula, CA 92590
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cbacorn@retinadrs.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A159867 | CA | Yes |
Addresses
Primary practice location
835 Third Ave
Chula Vista, CA 91911-1352
Mailing address
835 Third Ave
Chula Vista, CA 91911-1352
Phone (619) 425-7755
Other providers in Chula Vista, CA
- Azilife Inc
- Babak Hosseini, DDS, Ms, Inc
- Bryanna Baca
- Back2Life
- Kelly Ann Baclig
- Yasmeen Badami
- Danielle Bader
- Bonnie Michelle Badii
- Jennifer Baezpolan
- Jeff R Bagamaspad
All providers in Chula Vista, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.