Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Doreen Lata Kumar, FNP-C

Individual provider Registered Nurse · NPI 1184101693

Doreen Lata Kumar, FNP-C is a Nurse Practitioner in Modesto, California. Qualified in 2018, 8 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4555 Precissi Ln, Stockton, CA 95207-6239 — (209) 477-4103

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95009130 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95053217 (CA)

Record details

NPI number1184101693
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESDecember 30, 2021
Certification dateSeptember 8, 2020
Mailing address8755 Hollowstone Way, Sacramento, CA 95828-5588

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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