Individual provider Active NPI

Adeleh Yarmohammadi, M.D.

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1023542370
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A165699 Issued in CA
Practice address
9415 Campus Point Dr RM 257
La Jolla, CA 92093-1350
Phone
(858) 534-8858
Fax
(858) 822-0040
NPI assigned
Apr 13, 2017
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A165699 CA Primary

Addresses

Primary practice location

9415 Campus Point Dr RM 257
La Jolla, CA 92093-1350

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (800) 926-8273

Other practice location 1

2222 Santa Monica Blvd Ste 107
Santa Monica, CA 90404-2305
Phone (310) 828-2082

Other practice location 2

450 N Roxbury Dr Fl 3
Beverly Hills, CA 90210-4238
Phone (310) 651-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810001896 CA Practitioner - Ophthalmology 6103220355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kerry K Assil MD IncGroup PAC ID 3476467549, 9 clinicians

Practice addresses (Care Compare)

450 N Roxbury Dr
FL 3
Beverly Hills, CA 90210-4238
Phone (310) 651-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13
Melanoma (skin cancer) excision15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A165699CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jun 1, 2021 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients
Kerry K. Assil, M.D., Inc. Ophthalmology Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

9415 Campus Point Dr
Rm 257
La Jolla, CA 92093
Phone (858) 534-8858

File 57326
Los Angeles, CA 90074

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1023542370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 CAMPUS POINT DR RM 257",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931350",
            "telephone_number": "858-534-8858",
            "fax_number": "858-822-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Santa Monica Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042305",
            "country_code": "US",
            "telephone_number": "310-828-2082",
            "fax_number": "310-453-2519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 N Roxbury Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104238",
            "country_code": "US",
            "telephone_number": "310-651-2330",
            "fax_number": "310-453-2519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARMOHAMMADI",
        "first_name": "ADELEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A165699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.