Active NPI
Aylmer Gozum
- Family Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1619418381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006214
- Practice address
- 6556 Cerritos Ave
Long Beach, CA 90805-2448 - Phone
- (213) 248-5216
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006214 | CA | Primary |
Addresses
Primary practice location
6556 Cerritos Ave
Long Beach, CA 90805-2448
Mailing address
6556 Cerritos Ave
Long Beach, CA 90805-2448
Phone (213) 248-5216
Other practice location 1
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Tarzana, CA 91356
Phone (747) 264-0266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95006214 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lebreoot a Professional Medical Corporation | Current | Accepting new patients | |
| Think Wound Care Medical Inc | Family | Current | Accepting new patients |
| Wellness Wound Care Inc | Current | Accepting new patients |
Locations
9171 Wilshire Blvd
Ste 500
Beverly Hills, CA 90210
Phone (310) 331-0058
19633 Ventura Blvd
Ste A
Tarzana, CA 91356
Phone (747) 264-0266
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1457206427
-
- Family Medicine Physician
- Tarzana, CA
- NPI 1346040151
-
- Wound Care Registered Nurse
- Beverly Hills, CA
- NPI 1083306773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1619418381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6556 CERRITOS AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908052448",
"telephone_number": "213-248-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6556 CERRITOS AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908052448",
"telephone_number": "213-248-5216"
}
],
"practiceLocations": [
{
"address_1": "195 Page Mill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943062073",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOZUM",
"first_name": "AYLMER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-15",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.