MARYAM MEHRZAD OD
NPI 1891382495
Optometrist in San Diego, CA
About Maryam Mehrzad Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM MEHRZAD OD (NPI 1891382495) is an individual optometrist in San Diego, California, licensed in California (34745) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Maryam Mehrzad Od 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 Maryam Mehrzad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
National City, CA 91950
- Reassigned Medicare billing, California enrollment
- 102 clinicians in this Medicare group
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
San Dimas, CA 91773
- Reassigned Medicare billing, California enrollment
- 24 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 92154 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 20
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 Maryam Mehrzad's NPI number?
The NPI number for Maryam Mehrzad is 1891382495. It was assigned to this individual provider in the NPPES registry on December 29, 2020.
Where is Maryam Mehrzad located?
Maryam Mehrzad practices at 4650 Palm Ave, San Diego, CA 92154. The listed phone number is (858) 335-9116.
What is Maryam Mehrzad's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Maryam Mehrzad enrolled in Medicare?
Yes. Maryam Mehrzad 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 Maryam Mehrzad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Mehrzad reassigns Medicare benefits to 3 organizations: La Maestra Family Clinic, Inc. (National City, CA), Southern California Permanente Medical Group (San Diego, CA) and Spectrum Eyecare Optometry Inc (San Dimas, 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 Maryam Mehrzad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maryam Mehrzad was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Maryam Mehrzad, OD · NPI 1891382495
Optometrist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since December 29, 2020.
## Identity
- **NPI:** 1891382495 (Entity type: Individual)
- **Enumerated:** December 29, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34745 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4650 PALM AVE, San Diego, CA 92154-8404
- **Phone:** (858) 335-9116
## 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): La Maestra Family Clinic, Inc. (NPI 1508949645, National City, CA); Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA); Spectrum Eyecare Optometry Inc (NPI 1801949573, San Dimas, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891382495) · Data from the CMS NPPES public registry.