M Mark Mofid M D A Professional
NPI 1649255548ActiveOrganization· Plastic Surgery· La Jolla, CA
Plastic Surgery in La Jolla, California, registered in NPPES in December 2005. The authorized official on file is Mehrdad Mark Mofid, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649255548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2005 |
| Last updated in NPPES | May 24, 2026 |
| Certified by provider | May 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | A83432 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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