M Mark Mofid M D a Professional

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A83432 Issued in CA

Legal business name

M MARK MOFID M D A PROFESSIONAL

Practice address

4150 Regents Park Row
Suite 300
La Jolla, CA 92037-9124

Phone

(858) 909-9000

Fax

(858) 909-9009

NPI assigned

Dec 13, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mehrdad Mark Mofid, M.D.NPI 1225244155

Title

President

Phone

(858) 909-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehrdad Mark Mofid, M.D.

  • Plastic Surgery Physician
  • La Jolla, CA
  • NPI 1225244155
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779580800000",
    "number": "1649255548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 300",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371417",
            "telephone_number": "858-909-9000",
            "fax_number": "858-909-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 300",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379124",
            "telephone_number": "858-909-9000",
            "fax_number": "858-909-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M MARK MOFID M D A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "MOFID",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-909-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A83432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A834320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ly, PA
• Lisa Diane Lykissas, NP
• Ryan Loreno Lym, M.D.
• Gloria Vonhebel Lynch, PH.D.
• Brittany Rose Lyon, MSN, AGACNP-BC
• Ayemoethu Ma, M.D.
• Joseph D. Ma, PHARM.D.
• Siu Mei Ma, PHARM.D.
• Rachel Hannah Flores Macam, RD
• Alexis Macdonald

• Plastic Surgery Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.