Active NPI
Christine Marie Domenik, M.D.
- Obstetrics & Gynecology Physician
- Aptos, CA
National Provider Identifier
1578926002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G44378
- Practice address
- 1080 Larsen Rd
Aptos, CA 95003-2642 - Phone
- (650) 255-8366
- NPI assigned
- Apr 1, 2016
- Last updated
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G44378 | CA | Primary |
Addresses
Primary practice location
1080 Larsen Rd
Aptos, CA 95003-2642
Mailing address
PO Box 1629
Aptos, CA 95001-1629
Phone (650) 255-8366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44378 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1578926002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1629",
"city": "APTOS",
"state": "CA",
"postal_code": "950011629",
"telephone_number": "650-255-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 LARSEN RD",
"city": "APTOS",
"state": "CA",
"postal_code": "950032642",
"telephone_number": "650-255-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMENIK",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G44378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aptos, CA
- Nicole Marie Diaz
- Dignity Health Medical Foundation (Dignity Health Medical Group - Dominican, a service of Dignity Health)
- Tanya Maria Dobrzanski, D.C.
- Gary Alan Dolowich, M.D.
- Sena Dolowich, LCSW
- Donald Paul Connolly DDS
- Doris Mary Donoghue, M.D.
- Lisa Dopfel, M.A., CCC-SLP
- Mary K Dowling, FNP
- Dr. Ali Heidari & Dr. Ramin Moradi, D.D.S., Inc, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.