DR. ROGER Y TAKLA (NPI# 1457494643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457494643 |
| Entity Type | Individual |
| Full Name | DR. ROGER Y TAKLA |
| Credential | M.D. |
| Practice Address |
1040 Elm Ave Suite 301 Long Beach CA 90813-3267 |
| Practice Telephone | 5624919001 |
| Practice Fax Number | 5624919283 |
| Mailing Telephone | 5624919001 |
| Mailing Fax Number | 5624919283 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A29866 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1040 ELM AVE SUITE 301 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891770970 | Tanya De La Cerda | Physical Therapist | 1040 Elm Ave, Suite #100, Long Beach, CA 90813-3264 | 2005-12-12 |
| 1558812990 | United Medical Radiology Network, Inc. | Clinic/Center | 1040 Elm Ave, Suite 102, Long Beach, CA 90813-3264 | 2016-10-20 |
| 1265982359 | Prohealth Partners A Medical Group | Surgery | 1040 Elm Ave, Suite 100, Long Beach, CA 90813-3264 | 2016-10-12 |
| 1780031211 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 1040 Elm Ave, Suite 102, Long Beach, CA 90813-3264 | 2016-05-13 |
| 1285028209 | Solomon Care M.d., Inc., A Professional Corporation | Nurse Practitioner | 1040 Elm Ave, Suite 304, Long Beach, CA 90813-3264 | 2015-03-27 |
| 1588056063 | Lena Kuang | Nurse Practitioner | 1040 Elm Ave, Long Beach, CA 90813-3264 | 2015-02-20 |
| 1811334071 | Nationwide Drug and Alcohol Counseling,inc. | Counselor | 1040 Elm Ave, 310, Long Beach, CA 90813-3264 | 2013-05-29 |
| 1063664514 | Faustino Bernadett Jr Md Inc A Professional Medical Corporation | Specialist | 1040 Elm Ave, 100, Long Beach, CA 90813-3264 | 2008-10-15 |
| 1073795498 | Long Beach Surgical Group A Medical Corporation | Specialist | 1040 Elm Ave, Suite #303, Long Beach, CA 90813-3264 | 2007-11-27 |
| 1467647511 | Lyman Kennedy Jr. | Physical Therapist | 1040 Elm Ave, Suite #100, Long Beach, CA 90813-3264 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134635667 | Selem Care | Pediatrics | 2700 N Bellflower Blvd Ste 201, Long Beach, CA 90815-1144 | 2017-12-20 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1487997334 | Dominick Figueroa | Pediatrics | 500 W Willow St Ste 101, Long Beach, CA 90806-2831 | 2013-03-28 |
| 1871833228 | Paul Russell Thompson | Pediatrics | 3030 Marna Ave, Long Beach, CA 90808-4401 | 2013-02-21 |
| 1093068330 | Solomon Laktineh, M.d. A Medical Corporation | Pediatrics | 6624 Cherry Ave, Long Beach, CA 90805-1715 | 2012-10-24 |
| 1013274679 | Tara Sutherland | Pediatrics | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2012-04-19 |
| 1215208962 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 540 E. Artesia Boulevard, Long Beach, CA 90805-1476 | 2012-01-25 |
| 1053681544 | Karing Pediatrics Medical Group | Pediatrics | 6628 Cherry Ave, Long Beach, CA 90805-1715 | 2011-12-30 |
| 1750612719 | Cindy Ugochi Njemanze | Pediatrics | 5191 Cherry Ave, Apt 1, Long Beach, CA 90805-6243 | 2010-01-14 |
| 1609004530 | Elaine Yang | Pediatrics | 455 E Columbia St Ste 201206, Long Beach, CA 90806-1620 | 2009-06-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.