Wellformed AI

NPI 1699356402 · live from the CMS NPI Registry

Joseph Anthony Chacko, MD

Ophthalmology in San Diego, CA. National Provider Identifier 1699356402, active.

NPI record

NPI1699356402 Type 1 · individual
StatusActive
Primary specialtyOphthalmology 207W00000X
Practice location200 W Arbor Dr, San Diego, CA 92103
Practice phone800-926-8273
Mailing addressFile 57326, Los Angeles, CA 90074
EnumeratedApril 14, 2021
Last updatedJune 16, 2026
Sole proprietorYes
Other namesTony Chacko

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology primary207W00000XA207848 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.