Michaela Yaccobi-Menasherian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34823 Issued in CA

Practice address

955 S Carillo Ave
Ste 105
Los Angeles, CA 90048

Phone

(323) 954-5800

NPI assigned

Jun 28, 2021

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John Edward Maanum, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1356303721
  Medicare reassignment
• Mark a. Chung, O.D., a Professional Corporation

  dba West Hollywood Optometric Center

  • Optometrist
  • West Hollywood, CA
  • NPI 1861800997
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1356911846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27271 LAS RAMBLAS STE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918041",
            "telephone_number": "949-652-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S CARILLO AVE",
            "address_2": "STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-954-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACCOBI-MENASHERIAN",
        "first_name": "MICHAELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Joseph Yablonicky, M.D.
• Julie M Yabu, MD
• Ken Keiji Yabuki, MFT
• Jamie Akemi Yabuno
• Eliza Yaccobe, NP
• Sajjad Ayub Yacoob, MD
• Anwar Ibrahim Yacoub, DDS
• Rania Rady Yacoub
• Wael Nabil Yacoub, MD
• Edward G Yacynych, PT, DPT

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.