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

Yasamin Moghtader

Individual provider Optometrist · NPI 1386536159

Yasamin Moghtader is an Optometry in LA Jolla, California. Qualified in 2024, 2 years ago. Practices with Retina Institute of California Medical Group, a California Medical Par, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

9850 Genesee Ave Ste 310
LA Jolla, CA 92037-1208
Phone: (800) 898-2020
Fax: (844) 897-3788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3603 Davis Dr Ste 100, Morrisville, NC 27560-6009 — (919) 234-4888

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT36147TLG (CA)

Record details

NPI number1386536159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address288 N Santa Anita Ave Ste 402, Arcadia, CA 91006-3183

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Retina Institute Of California Medical Group, A California Medical Par — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Jolla