YASAMAN MAHDAVI
NPI 1487487054
Optometrist in Marina Del Rey, CA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Yasaman Mahdavi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marina Del Rey, CA 90292
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Playa Vista, CA 90094
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Yasaman Mahdavi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yasaman Mahdavi reassigns Medicare benefits to 3 organizations: Modo Optometry A Professional Optometry Corp (Marina Del Rey, CA), Runway Optometry A Professional Optometric Corp. (Playa Vista, CA) and Los Angeles Vision Institute (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yasaman Mahdavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yasaman Mahdavi accept?
Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Yasaman Mahdavi · NPI 1487487054
Optometrist provider in Marina Del Rey, California. Individual provider, active in the CMS NPPES registry since August 20, 2024.
## Identity
- **NPI:** 1487487054 (Entity type: Individual)
- **Enumerated:** August 20, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35816 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4718 3/4 ADMIRALTY WAY, Marina Del Rey, CA 90292-6905
- **Phone:** (310) 305-2950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Modo Optometry A Professional Optometry Corp (NPI 1255883948, Marina Del Rey, CA); Runway Optometry A Professional Optometric Corp. (NPI 1508303892, Playa Vista, CA); Los Angeles Vision Institute (NPI 1043086119, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487487054) · Data from the CMS NPPES public registry.