Active NPI
Baramov Group
- Optometrist
- Los Angeles, CA
National Provider Identifier
1568386084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BARAMOV GROUP
- Practice address
- 11870 Santa Monica Blvd
Los Angeles, CA 90025-2276 - Phone
- (424) 514-4887
- NPI assigned
- Aug 6, 2026
- Last updated
- Aug 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Baramov
- Title
- Owner
- Phone
- (424) 514-4887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
11870 Santa Monica Blvd
Los Angeles, CA 90025-2276
Mailing address
11870 Santa Monica Blvd
Los Angeles, CA 90025-2276
Phone (424) 514-4887
National Provider Directory
National Provider DirectoryLocations
11870 Santa Monica Blvd
West Los Angeles, CA 90025
Phone (310) 473-1568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1568386084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11870 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252276",
"telephone_number": "424-514-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11870 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252276",
"telephone_number": "424-514-4887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARAMOV GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "BARAMOV",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "424-514-4887"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.