Active NPI
Roots Addiction & Psychiatry Medical Group, PC
- Adult Mental Health Clinic/Center
- Long Beach, CA
National Provider Identifier
1225917735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.