Individual provider Active NPI

Joven Caleb Gozo, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1861230294
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306278 Issued in CA
Practice address
822 S Robertson Blvd Ste 104
Los Angeles, CA 90035-1630
Phone
(310) 404-8626
Fax
(424) 335-0030
NPI assigned
Jul 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306278 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 104
Los Angeles, CA 90035-1630

Mailing address

822 S Robertson Blvd Ste 104
Los Angeles, CA 90035-1630
Phone (310) 404-8626

Other practice location 1

5926 Monterey Rd
Los Angeles, CA 90042-4943
Phone (323) 503-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112003510 CA Practitioner - Physical Therapist in Private Practice 5193216604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Physical Therapy IncGroup PAC ID 3476957580, 2 clinicians

Practice addresses (Care Compare)

822 S Robertson Blvd
Suite 104
Los Angeles, CA 90035-1630
Phone (310) 404-8626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306278CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Physical Therapy Inc. CurrentSince Aug 24, 2025 Accepting new patients

Locations

822 S Robertson Blvd
Ste 104
Los Angeles, CA 90035
Phone (310) 404-8626

Organizations & group practices 1

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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1861230294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351630",
            "telephone_number": "310-404-8626",
            "fax_number": "424-335-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351630",
            "telephone_number": "310-404-8626",
            "fax_number": "424-335-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5926 Monterey Rd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900424943",
            "country_code": "US",
            "telephone_number": "323-503-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOZO",
        "first_name": "JOVEN",
        "middle_name": "CALEB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.