YASAMAN MAHDAVI
NPI 1487487054
Optometrist in Marina Del Rey, CA

Active since August 20, 2024PECOS EnrolledAccepts Medicare Assignment
4718 3/4 ADMIRALTY WAY, MARINA DEL REY, CA 90292(310) 305-2950 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2024, Aug 20, 2024 (2 updates tracked since 2024).

About Yasaman Mahdavi NPPES

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

YASAMAN MAHDAVI (NPI 1487487054) is an individual optometrist in Marina Del Rey, California, licensed in California (35816) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487487054
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameYASAMAN MAHDAVI
Location Address4718 3/4 ADMIRALTY WAYMarina Del Rey, CA 90292-6905
Mailing Address17 Copps Hill StLaguna Niguel, CA 92677-4705
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 20, 2024
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1487487054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 35816
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4718 3/4 ADMIRALTY WAY, Marina Del Rey, CA 90292

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yasaman Mahdavi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789124553
PECOS Enrollment IDI20250530003231
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4718 3/4 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Optometrist
4718 3/4 ADMIRALTY WAY
MARINA DEL REY, CA 90292

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 Yasaman Mahdavi's NPI number?

The NPI number for Yasaman Mahdavi is 1487487054. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Yasaman Mahdavi located?

Yasaman Mahdavi practices at 4718 3/4 Admiralty Way, Marina Del Rey, CA 90292. The listed phone number is (310) 305-2950.

What is Yasaman Mahdavi's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Yasaman Mahdavi enrolled in Medicare?

Yes. Yasaman Mahdavi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Yasaman Mahdavi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Yasaman Mahdavi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yasaman Mahdavi was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.