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Deactivated NPI 1457494643 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Y Takla , MD

Pediatrics • Long Beach, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Takla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Takla, MD was a registered Pediatrics practicing in Long Beach, CA. Throughout an active medical career spanning 15 years, Dr. Takla provided care at the practice location at 1040 ELM AVE until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

1040 Elm Ave
Suite 301

Long Beach, CA 908133267

Telephone 5624919001
Fax 5624919283
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
103 Specialists

Practicing in Long Beach, CA (9612 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A29866

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Barbara Carey , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1811177942

Registered Nurse, Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2012

Registered at 1040 ELM AVE, SUITE 301, LONG BEACH, CA 908133267 (Tel: 5624919001)

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Updated Business Mailing Address October 30, 2012

Registered at 1040 ELM AVE, SUITE 301, LONG BEACH, CA 908133267 (Tel: 5624919001)

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Provider Name / Credentials Updated October 30, 2012

Recorded as ROGER TAKLA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Pediatrics (License #A29866 in CA)

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Initial NPI Registration & Enumeration February 15, 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: 1457494643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2007
Last Update: October 30, 2012
Deactivation Date: January 28, 2022

Mailing Address

1040 Elm Ave, Suite 301

Long Beach, CA 908133267

Phone: 5624919001

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.