Individual provider Active NPI

Aylmer Gozum

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1619418381
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006214 Issued in CA
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

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211002159 CA Practitioner - Nurse Practitioner 3779841226 Reassigns benefits to 3 organizations

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
Wellness Wound Care IncGroup PAC ID 6507385069, 5 clinicians

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

LicenseStateTypeSpecialty
95006214CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lebreoot a Professional Medical Corporation CurrentSince Jul 1, 2024 Accepting new patients
Think Wound Care Medical Inc Family CurrentSince Mar 19, 2026 Accepting new patients
Wellness Wound Care Inc CurrentSince Oct 1, 2025 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.

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

Verify at the official NPI Registry.