1. Home
  2. Directory
  3. California
  4. La Jolla
  5. Clinic Center
  6. NPI Profile

SAN DIEGO SKIN, INC.
NPI 1972831998
Clinic/Center - Ambulatory Surgical in La Jolla, CA

Active since December 02, 2009CLIA 05D2055590 · Waiver
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: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Diego Skin, Inc. NPPES

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

SAN DIEGO SKIN, INC. (NPI 1972831998) is a healthcare organization registered as an ambulatory surgical in La Jolla, California and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists M. Mark Mofid, President, as its authorized official.

NPPES Registry Identity

NPI1972831998
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN DIEGO SKIN, INC.
Location Address4150 REGENTS PARK ROW, SUITE 300La Jolla, CA 92037-9124
Mailing Address4150 Regents Park Row, Suite 300La Jolla, CA 92037-9124 · (858) 909-9000 · Fax (858) 909-9009
Phone(858) 909-9000
Fax(858) 909-9009
Organization SubpartNo
Authorized OfficialM. Mark MofidPresident · (858) 909-9000
Enumeration DateDecember 2, 2009
✔ NPI 1972831998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · A83432
4150 REGENTS PARK ROW, La Jolla, CA 92037
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2055590

San Diego Skin Inc · La Jolla, CA
Active · expires Mar 13, 2027
CLIA Number05D2055590
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorMark M. Mofid
Laboratory Phone(858) 909-9000
Laboratory LocationSan Diego Skin Inc4150 Regents Park Row Ste 300, La Jolla, CA 92037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

KATHRYN MITCHELL MOSCOVITCH P.T.
Physical Therapist
4150 REGENTS PARK ROW, #365
LA JOLLA, CA 92037
San Diego County (858) 587-8669
WILLIAM A KOSIK P.T.
Physical Therapist
4150 REGENTS PARK ROW, #365
LA JOLLA, CA 92037
San Diego County (858) 657-8199
ESKELAND AND ETTEFAGH DENTAL CORPORATION
Dentist (General Practice)
4150 REGENTS PARK ROW, SUITE 100
LA JOLLA, CA 92037
San Diego County (858) 687-9077
DR. STEPHEN EVERETT LOCKWOOD D.M.D., M.A.G.D.
Dentist (General Practice)
4150 REGENTS PARK ROW, SUITE 230
LA JOLLA, CA 92037
San Diego County (858) 558-3050
STEPHANIE D HASSIBI P.T.
Physical Therapist
4150 REGENTS PARK ROW, #365
LA JOLLA, CA 92037
San Diego County (858) 587-8669
MEHRDAD MARK MOFID M.D.
Plastic Surgery
4150 REGENTS PARK ROW, SUITE 300
LA JOLLA, CA 92037
San Diego County (858) 909-9000
DR. JOHN LEE OTIS MD
Psychiatry & Neurology (Psychiatry)
4150 REGENTS PARK ROW, 250
LA JOLLA, CA 92037
San Diego County (858) 457-2180
YVONNE BODY PT
Physical Therapist
4150 REGENTS PARK ROW, #365
LA JOLLA, CA 92037
San Diego County (858) 657-8199

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 San Diego Skin, Inc.'s NPI number?

The NPI number for San Diego Skin, Inc. is 1972831998. It was assigned to this organization in the NPPES registry on December 2, 2009.

Where is San Diego Skin, Inc. located?

San Diego Skin, Inc. is located at 4150 Regents Park Row Suite 300, La Jolla, CA 92037. The listed phone number is (858) 909-9000.

What is San Diego Skin, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does San Diego Skin, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2055590) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Diego Skin, Inc. was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.