Organization Active NPI

Roots Addiction & Psychiatry Medical Group, PC

  • Adult Mental Health Clinic/Center
  • Long Beach, CA
National Provider Identifier
1225917735
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ROOTS ADDICTION & PSYCHIATRY MEDICAL GROUP, PC
Practice address
3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535
Phone
(562) 583-9345
Fax
(949) 502-8887
NPI assigned
Aug 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Dr. Andrei Dokukin, MD
Title
MD/ Ceo
Phone
(917) 647-5031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535

Mailing address

3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535
Phone (562) 583-9345

National Provider Directory

National Provider Directory

Locations

3939 Atlantic Ave
Ste 102
Long Beach, CA 90807
Phone (562) 263-4733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1225917735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-583-9345",
            "fax_number": "949-502-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-583-9345",
            "fax_number": "949-502-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS ADDICTION & PSYCHIATRY MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "DOKUKIN",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "MD/ CEO",
        "authorized_official_telephone_number": "917-647-5031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.