Irina Yakubin

Primary specialty

OptometristTaxonomy code 152W00000X

License

34722 Issued in CA

Practice address

718 Montana Ave
Santa Monica, CA 90403-1404

Phone

(310) 917-4474

NPI assigned

Dec 7, 2020

Last updated

Apr 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: irina.yakubin.1@28334.direct.athenahealth.com

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.

• Irina Yakubin OD Optometric Corporation

  dba OptiHealth Optometry

  • Optometrist
  • Santa Monica, CA
  • NPI 1285488528
  Medicare reassignment NPD Authorized official
• Arthur Benjamin, M.D. a Prof. Med. Corp

  • Ophthalmology Physician
  • West Hollywood, CA
  • NPI 1487843280
  Medicare reassignment NPD
• Dr B Kamkar OD a Professional Optometry Corp

  dba Modern Optometry

  • Optometrist
  • Glendale, CA
  • NPI 1710190251
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1033715990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 709",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "310-275-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031404",
            "telephone_number": "310-917-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 W Sunset Blvd Ste 709",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900693708",
            "country_code": "US",
            "telephone_number": "310-275-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKUBIN",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "MY6983313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mina Yadegar
• Sidney Yadidi, DC
• Sherry Yafai, M.D.
• Amy Ameneh Yaghmai, M.D.
• Paulina Yaghoubian, DPT
• Jelson Jonathan Yalung, DDS
• Cecile Lia Yama, MD
• Wayne T. Yamada, DDS
• Lily Yamamoto, PHARMD
• Janet Misayo Yamamura, MD

• Optometrist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.