Ian Grooms

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1455 Issued in CA

Practice address

3551 W Olympic Blvd
Los Angeles, CA 90019-3504

Phone

(323) 732-0350

NPI assigned

Jan 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ian Grooms Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1205225372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193504",
            "telephone_number": "323-732-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193504",
            "telephone_number": "323-732-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "IAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "GROOMS",
            "credential": "COTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edwin Gromis, M.D.
• Robert M Gromis, M.D.
• Deanna Marie Gronau
• Jonathan Paul Gronlund, PHARM.D.
• Sonya Groomes
• Jeremie Jevon Grose, MSN, ACNPC-AG
• Leslie Ann Grosher, AMFT
• Cheryl Groskopf, LMFT, LPCC
• Grosleib DDS Corporation, Apc
• Irene Grosleib, FNP

• Occupational Therapy Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.