Individual provider Active NPI

Colin Bacorn, MD

  • Ophthalmology Physician
  • Chula Vista, CA
National Provider Identifier
1932640109
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A159867 Issued in CA
Practice address
835 Third Ave
Chula Vista, CA 91911-1352
Phone
(619) 425-7755
NPI assigned
Mar 20, 2017
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A159867 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819001147 CA Practitioner - Ophthalmology 9830590405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, LPGroup PAC ID 4284676966, 20 clinicians

Practice addresses (Care Compare)

27315 Jefferson Ave
Suite F
Temecula, CA 92590-5609
Phone (619) 425-7755

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A159867CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Retina Associates, LP Ophthalmology CurrentSince Jul 21, 2025 Accepting new patients
Afsaneh Amini, O.D., a Professional Optometric Corporation CurrentSince Jul 21, 2025 Accepting new patients
Friel Prosthetics Inc., Dba PastSince Aug 1, 2021 Accepting new patients
Concierge Anesthesia PastSince Sep 14, 2025 Accepting new patients
El Centro Regional Medical Center PastSince Jul 21, 2025 Accepting new patients

Locations

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

1498 S La Brucherie Rd
#A
El Centro, CA 92243
Phone (619) 425-7755

1118 W Valley Pkwy
Escondido, CA 92025
Phone (619) 425-7755

27315 Jefferson Ave
Temecula, CA 92590

27315 Jefferson Ave
Ste F
Temecula, CA 92590

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cbacorn@retinadrs.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1932640109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACORN",
        "first_name": "COLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A159867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.