Yasamin Moghtader

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT36147TLG Issued in CA

Practice address

9850 Genesee Ave Ste 310
La Jolla, CA 92037-1208

Phone

(800) 898-2020

Fax

(844) 897-3788

NPI assigned

Jul 16, 2025

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of California Medical Group, a California Medical ParGroup PAC ID 4587760749, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1760541569

  Optometrist

  Medicare reassignment Care Compare group NPD
• Barry a. Katzman, M.D., Inc Apc

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1386536159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N SANTA ANITA AVE STE 402",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063183",
            "telephone_number": "626-269-5371",
            "fax_number": "626-577-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 310",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371208",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3603 Davis Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275606009",
            "country_code": "US",
            "telephone_number": "919-234-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGHTADER",
        "first_name": "YASAMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36147TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modena Allergy & Asthma Inc.
• Brian David Modena, M.D., MSC
• Rishi Modi
• Mehrdad Mark Mofid, M.D.
• Sasan Moghimi Araghi, MD
• Saara Anjum Mohammed, MD
• Rajeev Chandra Mohan, MD
• William C Mohlenbrock, MD
• Darush Lawrence Mohyi, M.D.
• Jennifer Moitoza Johnson, M.D.

• Optometrist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.