F Brad Mozaffari MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

F BRAD MOZAFFARI MD INC

Practice address

4520 Executive Dr
Ste 105
San Diego, CA 92121

Phone

(858) 453-8484

Fax

(858) 453-3284

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Farid Brad Mozaffari, MDNPI 1639290075

Title

President

Phone

(858) 453-8484

Specialties & licenses 1

Addresses

Other names 3

• Belladerma Cosmetic Surgery & Skin Care Center Doing business as
• F Brad Mozaffari MD Doing business as
• Farid B. Mozaffari MD Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Farid Brad Mozaffari, MD

  • Plastic Surgery Physician
  • San Diego, CA
  • NPI 1639290075
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1821630468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 REGENTS RD 113",
            "address_2": "#400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92122",
            "telephone_number": "858-453-8484",
            "fax_number": "858-453-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR",
            "address_2": "STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-453-8484",
            "fax_number": "858-453-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F BRAD MOZAFFARI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "MOZAFFARI",
        "authorized_official_first_name": "FARID",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-453-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belladerma Cosmetic Surgery & Skin Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "F Brad Mozaffari MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Farid B. Mozaffari MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ebenezer Ezenwa
• Njideka C. Ezeokoli, MD
• Ifunanya Joy Ezimora
• Phillip Loki Ezpeleta, CMT
• Leslie Lorraine Ezzard, RN
• F. Alavi, MD E. Eve Zomorrodi, MD, a Medical Corporation
• F&H Health Care Inc.
• Lili'a Christa Fa'Aola, BA
• Gabriel T Fabella, M.D.
• Marilyn Fabellar

• Plastic Surgery Physician in San Diego, CA
• Providers in San Diego, 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 Sep 27, 2023; 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.