Individual provider Active NPI

Jay Michael Mashouf, O.D.

  • Corneal and Contact Management Optometrist
  • San Diego, CA
National Provider Identifier
1346294584
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
10987T Issued in CA
Practice address
10549 Scripps Poway Pkwy
Suite G
San Diego, CA 92131-3963
Phone
(858) 530-2800
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 10987T CA Primary

Addresses

Primary practice location

10549 Scripps Poway Pkwy
Suite G
San Diego, CA 92131-3963

Mailing address

10549 Scripps Poway Pkwy
Suite G
San Diego, CA 92131-3963
Phone (858) 530-2800

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060828000176 CA Practitioner - Optometry 6507860947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wan and Mashouf Optometric Corp PCGroup PAC ID 7315347432, 4 clinicians

Practice addresses (Care Compare)

10549 Scripps Poway Pkwy
Suite G
San Diego, CA 92131-3963
Phone (858) 530-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10987TCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
4S Optometric Group CurrentSince Mar 15, 2015 Accepting new patients
Scripps Optometric Group Current Accepting new patients

Locations

10531 4S Commons Dr
Ste 168
San Diego, CA 92127
Phone (858) 675-2020

10549 Scripps Poway Pkwy
Ste G
San Diego, CA 92131
Phone (858) 530-2800

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346294584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PKWY",
            "address_2": "SUITE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313963",
            "telephone_number": "858-530-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PKWY",
            "address_2": "SUITE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313963",
            "telephone_number": "858-530-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHOUF",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10987T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.