Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Buenaventura Gaviola Agraviador III, PTLA

Individual provider Physical Therapist · NPI 1366116170

Buenaventura Gaviola Agraviador III, PTLA is registered under Physical Therapist in Private Practice in Northridge, California. Qualified in 2024, 2 years ago. Practices with Sansum Clinic, a 320-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

18709 Frankfort St
Northridge, CA 91324-4523
Phone: (818) 358-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTLA (CA)

Record details

NPI number1366116170
Entity typeIndividual (Type 1)
GenderMale
Credentials PTLA
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sansum Clinic — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients18
Services billed 157 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Sansum Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 320 clinicians in the practice; 12 are shown here.

Other providers in Northridge