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EIMANEH MOSTOFIAN M.D.
NPI 1154477628
General Practice in San Diego, CA

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-7295 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eimaneh Mostofian M.d. NPPES

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

EIMANEH MOSTOFIAN M.D. (NPI 1154477628) is an individual general practice provider in San Diego, California, licensed in California (A97181) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2004).

NPPES Registry Identity

NPI1154477628
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameEIMANEH MOSTOFIANCredential: M.D.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address2050 Camino De La Reina Unit 110San Diego, CA 92108-5515 · (619) 929-8652
Phone(619) 532-7295
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2004
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154477628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A97181
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
34800 BOB WILSON DR, San Diego, CA 92134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eimaneh Mostofian M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204088016
PECOS Enrollment IDI20121130000182
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. ELAN HARDER BRESSLOUR-RASHAP MD
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Eimaneh Mostofian's NPI number?

The NPI number for Eimaneh Mostofian is 1154477628. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Eimaneh Mostofian located?

Eimaneh Mostofian practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-7295.

What is Eimaneh Mostofian's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Eimaneh Mostofian enrolled in Medicare?

Yes. Eimaneh Mostofian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eimaneh Mostofian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.