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CHRISTOPHER DOMKE
NPI 1215304944
Student in an Organized Health Care Education/Training Program in Concord, CA

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
2425 BISSO LN, STE. 200, CONCORD, CA 94520(925) 957-5150 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christopher Domke NPPES

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

CHRISTOPHER DOMKE (NPI 1215304944) is an individual student in an organized health care education/training program in Concord, California and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215304944
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTOPHER DOMKE
Location Address2425 BISSO LN, STE. 200Concord, CA 94520-4897
Mailing Address2425 Bisso Ln, Ste. 200Concord, CA 94520-4897
Phone(925) 957-5150
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2015
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1215304944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2425 BISSO LN, Concord, CA 94520
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christopher Domke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062816705
PECOS Enrollment IDI20210803002464
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.

Other Providers at the Same Location NPPES 20

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

MR. FRED EARL HARRIS CSW
Counselor (Mental Health)
2425 BISSO LN, SUITE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5630
CASEY WETZEL
Registered Nurse
2425 BISSO LN, 100
CONCORD, CA 94520
Contra Costa County (925) 521-5620
DR. ROSS BENNETT ANDELMAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2425 BISSO LN, SITE 280
CONCORD, CA 94520
Contra Costa County (925) 646-5915
CHIDI A OHANELE
Registered Nurse
2425 BISSO LN, SUITE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5655
DR. ELLEN DAYTON SHIRGUL PSY.D.
Psychologist (Clinical)
2425 BISSO LN, SUITE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5650
HSARPAW HERNANDEZ
Counselor (Mental Health)
2425 BISSO LN, SUITE 120
CONCORD, CA 94520
Contra Costa County (925) 646-1444
ERIC PHILLIPS
Marriage & Family Therapist
2425 BISSO LN
CONCORD, CA 94520
Contra Costa County (510) 374-2672
DEBRA WILKINS
Registered Nurse (Psychiatric/Mental Health, Adult)
2425 BISSO LN
CONCORD, CA 94520
Contra Costa County (925) 521-5700

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 Christopher Domke's NPI number?

The NPI number for Christopher Domke is 1215304944. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Christopher Domke located?

Christopher Domke practices at 2425 Bisso Ln Ste. 200, Concord, CA 94520. The listed phone number is (925) 957-5150.

What is Christopher Domke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christopher Domke enrolled in Medicare?

Yes. Christopher Domke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Christopher Domke was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.