DR. FARID BRAD MOZAFFARI MD
NPI 1639290075
Plastic Surgery in San Diego, CA

Q: What is Farid Mozaffari's NPI number?

The NPI number for Farid Mozaffari is 1639290075. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Farid Mozaffari's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Farid Mozaffari was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment

4520 EXECUTIVE DR, STE 105, SAN DIEGO, CA 92121(858) 456-8484(858) 453-3284 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2020, May 24, 2019, May 8, 2019 (3 updates tracked since 2019).

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About Dr. Farid Brad Mozaffari Md NPPES

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

DR. FARID BRAD MOZAFFARI MD (NPI 1639290075) is an individual plastic surgery provider in San Diego, California, licensed in California (C156516) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1639290075

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. FARID BRAD MOZAFFARICredential: MD

Location Address4520 EXECUTIVE DR, STE 105San Diego, CA 92121

Mailing Address7770 Regents Rd 113, #400San Diego, CA 92122 · (858) 453-8484 · Fax (858) 453-3284

Phone(858) 456-8484

Fax(858) 453-3284

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 3, 2007

Last NPPES UpdateSeptember 15, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2020

✔ NPI 1639290075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in CA · C156516✔ Licensed in FL · 164717

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License 57899 (GA)

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 22324 (WV)

4520 EXECUTIVE DR, San Diego, CA 92121

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Secondary Practice Locations 6

Location 11600 Medical Center Dr Ste 2500Huntington, WV 25701-3657 · Phone (304) 691-8910

Location 21750 Howe Ave Ste 500Sacramento, CA 95825-3338 · Phone (916) 604-4543

Location 3210 Brooks St Ste 200Charleston, WV 25301-1848 · Phone (304) 388-1930 · Fax (304) 388-1929

Location 41220 Lee St ECharleston, WV 25301-1863 · Phone (304) 388-1800 · Fax (304) 388-1825

Location 53200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432

Location 6501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432

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

Dr. Farid Brad Mozaffari Md 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 ID7911072517

PECOS Enrollment IDI20200206000252

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. NAVEEN GUPTA MD

Internal Medicine (Critical Care Medicine)

4520 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

SHARAN NEIMAN PHARMD

Pharmacist

4520 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (925) 297-7254

DR. ERNEST WONG DDS

Dentist

4520 EXECUTIVE DR, SUITE 200
SAN DIEGO, CA 92121

San Diego County (858) 587-2828

ROYBAL MD CHEMICAL DEPENDENCE TREATMENT INC

Clinic/Center (Rehabilitation, Substance Use Disorder)

4520 EXECUTIVE DR, SUITE 225
SAN DIEGO, CA 92121

San Diego County (858) 202-1822

INDRAJIT SENGUPTA PA-C

Physician Assistant (Medical)

4520 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

DR. ROBERT E KEARNEY MD

Surgery (Plastic and Reconstructive Surgery)

4520 EXECUTIVE DR, #150
SAN DIEGO, CA 92121

San Diego County (858) 677-9352

SUZANNE SMITH RD

Dietitian, Registered

4520 EXECUTIVE DR, SUITE PLAZA 1
SAN DIEGO, CA 92121

San Diego County (619) 543-3133

JOHN D ALEXANDER PT

Physical Therapist

4520 EXECUTIVE DR, STE 101
SAN DIEGO, CA 92121

San Diego County (858) 535-1894

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 Farid Mozaffari's NPI number?

The NPI number for Farid Mozaffari is 1639290075. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Farid Mozaffari located?

Farid Mozaffari practices at 4520 Executive Dr Ste 105, San Diego, CA 92121. The listed phone number is (858) 456-8484.

What is Farid Mozaffari's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Farid Mozaffari enrolled in Medicare?

Yes. Farid Mozaffari 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.

Is Farid Mozaffari affiliated with any hospitals?

According to CMS data, Farid Mozaffari is affiliated with Hca Florida Gulf Coast Hospital.

When was this NPI record last updated?

The NPPES record for Farid Mozaffari was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.