Individual provider Active NPI

Mehrak Khadavi Farahmand, OD

  • Optometrist
  • Monterey, CA
National Provider Identifier
1356307516
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11474 Issued in CA
Practice address
2 Upper Ragsdale Dr Ste B130
Monterey, CA 93940-7842
Phone
(831) 647-3900
Fax
(831) 771-3966
NPI assigned
Apr 25, 2006
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11474 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr Ste B130
Monterey, CA 93940-7842

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (831) 647-3900

Other practice location 1

143 John St
Salinas, CA 93901-3337
Phone (310) 422-9551

Other identifiers 1

IdentifierTypeStateIssuer
SD0114740MedicaidCA

Other names 1

  • Dr. Mehrak Khadavi Professional name

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
I20071231000329 CA Practitioner - Optometry 1850390121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Eye Center a Medical CorpGroup PAC ID 6406743632, 19 clinicians

Practice addresses (Care Compare)

2 Upper Ragsdale Dr
B130
Monterey, CA 93940-7842
Phone (831) 647-3900

2 Upper Ragsdale Dr
Suite B280
Monterey, CA 93940-7846
Phone (831) 641-7695

917 Pacific St
Monterey, CA 93940-4447
Phone (831) 375-9876

966 Cass St
Suite 100
Monterey, CA 93940-4540
Phone (831) 373-7733

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as group
Quality
87.98
Promoting interoperability
88
Improvement activities
40
Cost
49.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Eye Center a Medical Corp CurrentSince Nov 1, 2013 Accepting new patients
Balance Physical Therapy & Human Performance Center, Inc PastSince Jun 11, 2002 Accepting new patients
Balance Physical Therapy & Human Performance Center, Inc PastSince Jun 6, 2021 Accepting new patients
Community Hospital of the Monterey Peninsula PastSince May 21, 2023 Accepting new patients

Locations

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

2 Upper Ragsdale Dr
Ste B130
Monterey, CA 93940
Phone (831) 647-3900

966 Cass St
Monterey, CA 93940
Phone (831) 373-7733

966 Cass St
Ste 100
Monterey, CA 93940
Phone (831) 373-7733

622 Abbott St
Salinas, CA 93901
Phone (831) 771-3900

622 Abbott St
Ste A
Salinas, CA 93901
Phone (831) 771-3900

Interoperability endpoints

  • Direct secure messaging: mehrak.farahmand.p32@direct.avp.nextgenshare.com

Organizations & group practices 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1356307516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "831-647-3900",
            "fax_number": "831-771-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B130",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407842",
            "telephone_number": "831-647-3900",
            "fax_number": "831-771-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 John St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013337",
            "country_code": "US",
            "telephone_number": "310-422-9551",
            "fax_number": "831-422-4784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAHMAND",
        "first_name": "MEHRAK",
        "middle_name": "KHADAVI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0114740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHRAK",
            "last_name": "KHADAVI",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.