DR. ATEF ABDELMALEK BOUTROS DDS
NPI 1619024775
Dentist - General Practice in Long Beach, CA

Q: What is Atef Boutros's NPI number?

The NPI number for Atef Boutros is 1619024775. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Atef Boutros's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Atef Boutros was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2007PECOS Enrolled

1183 E ANAHEIM STREET, LONG BEACH, CA 90813(562) 912-4367(562) 912-4369 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Atef Abdelmalek Boutros Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ATEF ABDELMALEK BOUTROS DDS (NPI 1619024775) is an individual general practice provider in Long Beach, California, licensed in California (D48234) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619024775

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ATEF ABDELMALEK BOUTROSCredential: DDS

Location Address1183 E ANAHEIM STREETLong Beach, CA 90813

Mailing Address1183 E Anaheim StreetLong Beach, CA 90813 · (562) 912-4367 · Fax (562) 912-4369

Phone(562) 912-4367

Fax(562) 912-4369

Sole ProprietorYes

Enumeration DateJanuary 4, 2007

Last NPPES UpdateOctober 24, 2023

✔ NPI 1619024775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · D48234✔ Licensed in CA · 48234

Definition

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.

1183 E ANAHEIM STREET, Long Beach, CA 90813

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Atef Abdelmalek Boutros Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATEF BOUTROS DDS INC.

Dentist (General Practice)

1183 E ANAHEIM STREET
LONG BEACH, CA 90813

Los Angeles County (562) 912-4367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atef Boutros's NPI number?

The NPI number for Atef Boutros is 1619024775. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Atef Boutros located?

Atef Boutros practices at 1183 E Anaheim Street, Long Beach, CA 90813. The listed phone number is (562) 912-4367.

What is Atef Boutros's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Atef Boutros enrolled in Medicare?

Yes. Atef Boutros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Atef Boutros was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.