M MARK MOFID M D A PROFESSIONAL
NPI 1649255548
Plastic Surgery in La Jolla, CA

Q: What is M Mark Mofid M D A Professional's NPI number?

The NPI number for M Mark Mofid M D A Professional is 1649255548. It was assigned to this organization in the NPPES registry on December 13, 2005.

Q: What is M Mark Mofid M D A Professional's specialty?

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

Active since December 13, 2005

4150 REGENTS PARK ROW, SUITE 300, LA JOLLA, CA 92037(858) 909-9000(858) 909-9009 Get Directions Write a Review

NPPES record last updated: May 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About M Mark Mofid M D A Professional NPPES

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

M MARK MOFID M D A PROFESSIONAL (NPI 1649255548) is a healthcare organization registered as a plastic surgery in La Jolla, California and active in the NPI registry since December 2005. The organization lists Mehrdad Mark Mofid, President, as its authorized official.

NPPES Registry Identity

NPI1649255548

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameM MARK MOFID M D A PROFESSIONAL

Location Address4150 REGENTS PARK ROW, SUITE 300La Jolla, CA 92037-9124

Mailing Address4150 Regents Park Row Ste 300La Jolla, CA 92037-1417 · (858) 909-9000 · Fax (858) 909-9009

Phone(858) 909-9000

Fax(858) 909-9009

Organization SubpartNo

Authorized OfficialMehrdad Mark MofidPresident · (858) 909-9000

Enumeration DateDecember 13, 2005

Last NPPES UpdateMay 24, 2026

NPPES CertifiedMay 24, 2026

✔ NPI 1649255548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A83432

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.

4150 REGENTS PARK ROW, La Jolla, CA 92037

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Other Identifiers 1

Medicaid00A834320CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M Mark Mofid M D A Professional is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to M Mark Mofid M D A Professional, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mehrdad Mofid, M.D.

Plastic and Reconstructive Surgery

NPI 1225244155

4150 REGENTS PARK ROW SUITE 300
La Jolla, CA 92037

(858) 909-9000

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 M Mark Mofid M D A Professional's NPI number?

The NPI number for M Mark Mofid M D A Professional is 1649255548. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is M Mark Mofid M D A Professional located?

M Mark Mofid M D A Professional is located at 4150 Regents Park Row Suite 300, La Jolla, CA 92037. The listed phone number is (858) 909-9000.

What is M Mark Mofid M D A Professional's specialty?

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

Is M Mark Mofid M D A Professional enrolled in Medicare?

Yes. M Mark Mofid M D A Professional is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M Mark Mofid M D A Professional?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to M Mark Mofid M D A Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for M Mark Mofid M D A Professional was last updated on May 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.