Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831234426 Individual Practitioner Male Practitioner

Dr. James John Tavernakis , DDS

Dentist - General Practice • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. James Tavernakis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Long Beach, CA. Practice services are available at 3943 E ANAHEIM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3943 E Anaheim St

Long Beach, CA 90815

Telephone 5625974500
Associated Practice Facility / Clinic
🏢 Kamelia Mallak Dds, Inc Facility NPI 1285079129

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
186 Specialists

Practicing in Long Beach, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA B2165501

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
B2165501 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1033794953

Doctor of Dental Medicine

NPI 1477797835

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3943 E ANAHEIM ST, LONG BEACH, CA 90815 (Tel: 5625974500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3943 E ANAHEIM ST, LONG BEACH, CA 90815 (Tel: 5625974500)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES TAVERNAKIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #B2165501 in CA)

🟢
Initial NPI Registration & Enumeration February 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831234426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3943 E Anaheim St

Long Beach, CA 90815

Phone: 5625974500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.