Individual provider Active NPI

Sara Farnaz Tavassoli, O.D.

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1184764011
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13395TPL Issued in CA
Practice address
288 N Santa Anita Ave Ste 103
Arcadia, CA 91006-3183
Phone
(626) 829-8185
Fax
(626) 829-8186
NPI assigned
Feb 8, 2007
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA 1989 MD
Optometrist 152W00000X OPT13395TPL CA Primary

Addresses

Primary practice location

288 N Santa Anita Ave Ste 103
Arcadia, CA 91006-3183

Mailing address

24662 El Manzano
Laguna Niguel, CA 92677-7637
Phone (301) 538-0032

Other practice location 1

7101 Democracy Blvd
lenscrafters
Bethesda, MD 20817
Phone (301) 365-3670

Other names 1

  • Farnaz Tavassoli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080207000471 DC Practitioner - Optometry 6800979378 Reassigns benefits to 1 organization
I20241211003481 CA Practitioner - Optometry 6800979378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

288 N Santa Anita Ave
Suite 103
Arcadia, CA 91006-3183
Phone (626) 829-8185

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13395TPLCAMDOptometrist
TA 1989MDMDOptometrist
13395CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farhad Naseh MD PA CurrentSince Apr 12, 2014 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Feb 8, 2025 Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

288 N Santa Anita Ave
Ste 103
Arcadia, CA 91006
Phone (626) 829-8185

288 N Santa Anita Ave
Ste 402
Arcadia, CA 91006
Phone (626) 269-5371

2323 16th St
Ste 400
Bakersfield, CA 93301
Phone (661) 336-0400

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

116 N Plaza St
Brawley, CA 92227
Phone (760) 344-4330

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

1420 Ocotillo Dr
El Centro, CA 92243
Phone (760) 353-1140

700 W El Norte Pkwy
Ste 200
Escondido, CA 92026
Phone (607) 435-8727

81952 US Highway 111
Ste B
Indio, CA 92201
Phone (442) 300-9209

47474 Washington St
La Quinta, CA 92253
Phone (760) 469-5213

44815 Fig Ave
Lancaster, CA 93534
Phone (661) 206-8469

44139 Monterey Ave
Ste A
Palm Desert, CA 92260
Phone (760) 469-5195

73180 El Paseo
Palm Desert, CA 92260
Phone (760) 346-3810

1801 E Tahquitz Canyon Way
Ste 200
Palm Springs, CA 92262
Phone (760) 327-2700

6906 Brockton Ave
Ste 6
Riverside, CA 92506
Phone (951) 784-8373

3440 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 784-0644

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

6 Montgomery Village Ave
Ste 103
Gaithersburg, MD 20879
Phone (301) 840-2208

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1184764011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24662 EL MANZANO",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777637",
            "telephone_number": "301-538-0032",
            "fax_number": "240-328-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 N SANTA ANITA AVE STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063183",
            "telephone_number": "626-829-8185",
            "fax_number": "626-829-8186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Democracy Blvd",
            "address_2": "lenscrafters",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "20817",
            "country_code": "US",
            "telephone_number": "301-365-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVASSOLI",
        "first_name": "SARA",
        "middle_name": "FARNAZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 1989",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13395TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARNAZ",
            "last_name": "TAVASSOLI",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.