Individual provider Active NPI

Mashal Hamidy, OD

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1427882547
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35778 Issued in CA
Practice address
18632 Beach Blvd Ste 100
Huntington Beach, CA 92648-2047
Phone
(855) 456-2253
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35778 CA Primary

Addresses

Primary practice location

18632 Beach Blvd Ste 100
Huntington Beach, CA 92648-2047

Mailing address

1055 E Colorado Blvd #102
Pasadena, CA 91106
Phone (949) 364-4004

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
I20251022004492 CA Practitioner - Optometry 6002304912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

272 E Huntsman Ave
Reedley, CA 93654-7032

28966 Canyon Rim Dr
Trabuco Canyon, CA 92679-1056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35778CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avani Patel Optometric Corporation Optometrist CurrentSince Aug 9, 2025 Accepting new patients

Locations

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

Organizations & group practices 1

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1427882547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD #102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91106",
            "telephone_number": "949-364-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18632 BEACH BLVD STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482047",
            "telephone_number": "855-456-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDY",
        "first_name": "MASHAL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.