ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION
NPI 1790204139
Neurological Surgery in Encino, CA

Active since September 18, 2017
16311 VENTURA BLVD STE 106, ENCINO, CA 91436(310) 278-7000(310) 321-4510 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2023, Sep 18, 2017 (2 updates tracked since 2017).

  • Organization
  • Neurological Surgery

About ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Act-line Medical, Inc., A Professional Medical Corporation, a provider established in Encino, California operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1790204139 assigned on September 2017. The practitioner's primary taxonomy code is 207T00000X with license number 75506 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Act-line Medical, Inc., A Professional Medical Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Tooraj Gravori Md (President)

NPI
1790204139 Verify this NPI
Provider Name
ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION
Entity Type
Organization
Location Address
16311 VENTURA BLVD STE 106 ENCINO, CA 91436
Location Phone
(310) 278-7000
Location Fax
(310) 321-4510
Mailing Address
16311 VENTURA BLVD STE 106 ENCINO, CA 91436
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2017
Last Update Date
04-13-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
75506
License State
CA
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

14719 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TOORAJ GRAVORI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 755-8333

Reviews for ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790204139, enumerated as an "organization" on September 18, 2017.

The provider is located at 16311 VENTURA BLVD STE 106 ENCINO, CA 91436 and the phone number is (310) 278-7000.

Neurological Surgery with taxonomy code 207T00000X.