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

Yasaman Mahdavi

Individual provider Optometrist · NPI 1487487054

Yasaman Mahdavi is an Optometry in Marina del Rey, California. Qualified in 2023, 3 years ago. Practices with Runway Optometry a Professional Optometric Corp, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

4718 3/4 Admiralty Way
Marina del Rey, CA 90292-6905
Phone: (310) 305-2950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35816 (CA)

Record details

NPI number1487487054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Runway Optometry A Professional Optometric Corp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Marina del Rey