Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Farid Brad Mozaffari, MD

Individual provider Surgery Physician · NPI 1639290075

Dr. Farid Brad Mozaffari, MD is a Plastic and Reconstructive Surgery in San Diego, California. Qualified in 2000, 26 years ago. Works from 9 locations and accepts Medicare assignment. Licensed in California, Florida, Georgia and West Virginia.

Years since qualifying
26
Licensed in
CA, FL, GA, WV
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4520 Executive Dr Ste 105
San Diego, CA 92121
Phone: (858) 456-8484
Fax: (858) 453-3284
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 1750 Howe Ave Ste 500, Sacramento, CA 95825-3338 — (916) 604-4543
  • 210 Brooks St Ste 200, Charleston, WV 25301-1848 — (304) 388-1930
  • 1220 Lee St E, Charleston, WV 25301-1863 — (304) 388-1800
  • 1220 Lee St E, Charleston, WV 25301-1863 — (304) 388-1800
  • 501 Morris St, Charleston, WV 25301-1326 — (304) 388-5432
  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5432
  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5432
  • 1600 Medical Center Dr Ste 2500, Huntington, WV 25701-3657 — (304) 691-8910

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence C156516 (CA)
Surgery Physician Taxonomy 208600000X · Licence 57899 (GA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 22324 (WV)
Plastic Surgery Physician Taxonomy 208200000X · Licence 164717 (FL)

Record details

NPI number1639290075
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESSeptember 15, 2023
Certification dateFebruary 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Diego