BELLADERMA COSMETIC SURGERY & SKIN CARE CENTER
NPI 1821630468
Plastic Surgery in San Diego, CA

Active since October 15, 2019
4520 EXECUTIVE DR, STE 105, SAN DIEGO, CA 92121(858) 453-8484(858) 453-3284 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Belladerma Cosmetic Surgery & Skin Care Center NPPES

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

BELLADERMA COSMETIC SURGERY & SKIN CARE CENTER (NPI 1821630468) is a healthcare organization registered as a plastic surgery in San Diego, California and active in the NPI registry since October 2019. The organization lists Farid Brad Mozaffari, President, as its authorized official.

NPPES Registry Identity

NPI1821630468
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameF BRAD MOZAFFARI MD INC
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
Fax(858) 453-3284
Organization SubpartNo
Authorized OfficialFarid Brad MozaffariPresident · (858) 453-8484
Enumeration DateOctober 15, 2019
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1821630468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
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.
4520 EXECUTIVE DR, San Diego, CA 92121

Other Names 3

Doing Business AsBelladerma Cosmetic Surgery & Skin Care Center
Doing Business AsF Brad Mozaffari Md
Other NameFarid B. Mozaffari Md

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)

Belladerma Cosmetic Surgery & Skin Care Center 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 Belladerma Cosmetic Surgery & Skin Care Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1639290075
4520 EXECUTIVE DR STE 105
San Diego, CA 92121
(858) 456-8484
✔ 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 F Brad Mozaffari MD Inc's NPI number?

The NPI number for F Brad Mozaffari MD Inc is 1821630468. It was assigned to this organization in the NPPES registry on October 15, 2019. The provider is doing business as Belladerma Cosmetic Surgery & Skin Care Center and F Brad Mozaffari MD. The provider is also known as Farid B. Mozaffari MD.

Where is F Brad Mozaffari MD Inc located?

F Brad Mozaffari MD Inc is located at 4520 Executive Dr Ste 105, San Diego, CA 92121. The listed phone number is (858) 453-8484.

What is F Brad Mozaffari MD Inc's specialty?

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

Is F Brad Mozaffari MD Inc enrolled in Medicare?

Yes. F Brad Mozaffari MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through F Brad Mozaffari MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to F Brad Mozaffari MD Inc. 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 F Brad Mozaffari MD Inc was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.