Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adeline Domkam, FNP

Individual provider Family Nurse Practitioner · NPI 1609521301

Adeline Domkam, FNP is a Nurse Practitioner in Stockton, California. Qualified in 2021, 5 years ago. Practices with Team Physicians of California Medical Group Inc, a 88-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3031 W March Ln Ste 101
Stockton, CA 95219-6568
Phone: (209) 472-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F01220784 (CA)

Record details

NPI number1609521301
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Team Physicians Of California Medical Group Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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