In-Line Medical, Inc., a Professional Medical Corporation

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

IN-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION

Practice address

1127 Wilshire Blvd Ste 510
Los Angeles, CA 90017-3906

Phone

(424) 217-1301

Fax

(424) 217-1302

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tooraj Todd Gravori, M.D.

Title

Authorized Official

Phone

(310) 278-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• In-Line Medical, Inc., a Professional Medical Corporation

  • Neurological Surgery Physician
  • Encino, CA
  • NPI 1982123329

  5193060440

  Same PAC ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peyman Gravori

  • Interventional Pain Medicine Physician
  • Encino, CA
  • NPI 1841615762

  Single Specialty

  NPD
• Murisiku Raifu, M.D.

  • Neurological Surgery Physician
  • Flushing, NY
  • NPI 1467616003
  NPD

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1285274035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 VENTURA BLVD # D569",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365300",
            "telephone_number": "424-217-1301",
            "fax_number": "424-217-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173906",
            "telephone_number": "424-217-1301",
            "fax_number": "424-217-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "GRAVORI",
        "authorized_official_first_name": "TOORAJ",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-278-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In House Radiology Medical Group Inc.
• In Jung Acupuncture
• In Pain Physicians Network Inc
• In Sung Service, Inc.
• In the Arms of Grace Hospice, Inc.
• Alexander In
• George In, M.D.
• Gino K In, MD
• Jun In, L.AC. & PH.D.
• Lydia Yuanching In, DPT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.