Peyman Gravori, D.O. Inc., a Professional Medical Corporation

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

20A14719 Issued in CA

Legal business name

PEYMAN GRAVORI, D.O. INC., A PROFESSIONAL MEDICAL CORPORATION

Practice address

16311 Ventura Blvd Ste 1065-B
Encino, CA 91436-2124

Phone

(310) 278-7000

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Peyman Gravori, DO

Title

Ceo

Phone

(310) 278-7000

Specialties & licenses 1

Addresses

Other names 1

• Advanced California Pain Relief Doing business as

Locations

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992232581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1065-B",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "310-278-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1065-B",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "310-278-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16311 Ventura Blvd Ste 1065",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364349",
            "country_code": "US",
            "telephone_number": "310-278-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEYMAN GRAVORI, D.O. INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAVORI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-278-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A14719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced California Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced California Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter R. Shrier, M.D.
• Glenn Allen Peters, PHD
• Timothy Allen Petersen, PSY.D.
• Kenneth P Peterson, MD
• Stephanie Marie Pettigrew
• Cynthia Pezeshgian, NP
• Beata Pezeshki, DDS
• Nancy Pezeshki, PHARM. D.
• Angela Quynh Giao Pham, M.D.
• Courtney Phan

• Interventional Pain Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.