Individual provider Active NPI

Amanda Jo Reiner, DO

  • Family Medicine Physician
  • Novato, CA
National Provider Identifier
1063036465
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A23066 Issued in CA
Practice address
75 Rowland Way Ste 200
Novato, CA 94945-5054
Phone
(415) 897-9664
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U1113 TX
Student in an Organized Health Care Education/Training Program 390200000X BP10071558 TX
Family Medicine Physician 207Q00000X 20A23066 CA Primary

Addresses

Primary practice location

75 Rowland Way Ste 200
Novato, CA 94945-5054

Mailing address

75 Rowland Way Ste 200
Novato, CA 94945-5054
Phone (415) 897-9664

Other practice location 1

11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251-3585
Phone (210) 703-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240223002796 OR Practitioner - Family Practice 5890117956 Reassigns benefits to 1 organization
I20250210002976 CA Practitioner - Family Practice 5890117956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 The Embarcadero
Suite 1500
San Francisco, CA 94143-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A23066CAMDFamily Medicine Physician
U1113TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Jul 28, 2025 Accepting new patients
Sutter Bay Hospitals CurrentSince Jan 1, 2025 Accepting new patients
Sutter Bay Hospitals CurrentSince Jan 1, 2025 Accepting new patients
Lane County Oregon CurrentSince Dec 27, 2023 Accepting new patients

Locations

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

75 Rowland Way
Ste 200
Novato, CA 94945
Phone (415) 897-3174

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

151 W 7th Ave
Eugene, OR 97401
Phone (541) 682-4041

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: amanda.reiner.p1@direct.lanecounty.nextgenshare.com
  • Direct secure messaging: areiner707976@hisp.ehr.sutterhealth.org
  • Direct secure messaging: areiner283398@christushealth.direct-ci.net

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1063036465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455054",
            "telephone_number": "415-897-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455054",
            "telephone_number": "415-897-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11130 CHRISTUS HILLS",
            "address_2": "MEDICAL PLAZA 3, 3RD FL",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513585",
            "country_code": "US",
            "telephone_number": "210-703-9001",
            "fax_number": "210-703-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINER",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U1113",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10071558",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A23066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.