Individual provider Active NPI

Adam Danko, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, CA
National Provider Identifier
1821392846
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20015 Issued in CA
Practice address
1420 Willow Pass Rd Ste 200
Concord, CA 94520-5823
Phone
(925) 646-5480
Fax
(925) 646-5622
NPI assigned
Jan 5, 2011
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20015 CA Primary

Addresses

Primary practice location

1420 Willow Pass Rd Ste 200
Concord, CA 94520-5823

Mailing address

1420 Willow Pass Rd Ste 200
Concord, CA 94520-5823
Phone (925) 646-5480

Other practice location 1

433 Turk St
San Francisco, CA 94102-3329
Phone (415) 928-7800 ext. 305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129001998 CA Practitioner - Nurse Practitioner 1759661291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

1420 Willow Pass Rd
Concord, CA 94520-5823
Phone (925) 646-5480

2523 El Portal Dr
San Pablo, CA 94806-3305
Phone (510) 215-3730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20015CAMDAcupuncturist
74606CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Oct 1, 2016 Accepting new patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince Oct 1, 2016 Accepting new patients

Locations

1420 Willow Pass Rd
Ste 200
Concord, CA 94520
Phone (925) 521-5150

10 Douglas Dr
Ste 140
Martinez, CA 94553
Phone (925) 313-1150

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1821392846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205823",
            "telephone_number": "925-646-5480",
            "fax_number": "925-646-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205823",
            "telephone_number": "925-646-5480",
            "fax_number": "925-646-5622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Turk St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941023329",
            "country_code": "US",
            "telephone_number": "415-928-7800 x305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANKO",
        "first_name": "ADAM",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2021-07-29",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "20015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.