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

Individual provider Family Medicine Physician · NPI 1578105789

Bomnara Degroot, FNP is a Family Medicine Physician in Modesto, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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

1444 Florida Ave Ste 202
Modesto, CA 95350-4400
Phone: (209) 524-1264
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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 95012814 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 95012814 (CA)

Record details

NPI number1578105789
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address1444 Florida Ave Ste 202, Modesto, CA 95350-4400

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