NPIMap

Individual provider Active NPI

Kathryn Amacher, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Vacaville, CA
National Provider Identifier
1366545568
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
20A5091 Issued in CA
Practice address
269 Sage Sparrow Cir
Vacaville, CA 95687-7751
Phone
(707) 451-4111
Fax
(707) 451-9803
NPI assigned
Sep 6, 2006
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 20A5091 CA Primary

Addresses

Primary practice location

269 Sage Sparrow Cir
Vacaville, CA 95687-7751

Mailing address

269 Sage Sparrow Circle
Vacaville, CA 95687
Phone (707) 592-9625

Other names 1

  • Kathryn M Amacher Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000641 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4880508795 Reassigns benefits to 2 organizations
Receives reassigned benefits from 3 practitioners
Practice locations: Vacaville, CA; Fairfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Rehab OnlyGroup PAC ID 7810491107, 5 clinicians

Practice addresses (Care Compare)

269 Sage Sparrow Cir
Vacaville, CA 95687-7751

2800 Estates Dr
Fairfield, CA 94533-9712
Phone (707) 432-1209

3350 Cherry Hills CT
Fairfield, CA 94534-7836
Phone (707) 425-3588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5091CAMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Nov 28, 2023 Accepting new patients
SNF Rehab Only Geriatric Medicine CurrentSince Jul 1, 2025 Accepting new patients
Covenant Care Courtyard, LLC Past Accepting new patients
Capital Medical Extended Care Past Accepting new patients
Solano Regional Medical Group, Inc. PastSince Mar 29, 2020 Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arbor Rehabilitation & Nursing CenterLodi, CA, CCN 555164 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
May 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1366545568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SAGE SPARROW CIRCLE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-592-9625",
            "fax_number": "707-451-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SAGE SPARROW CIR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877751",
            "telephone_number": "707-451-4111",
            "fax_number": "707-451-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMACHER",
        "first_name": "KATHRYN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "AMACHER",
            "middle_name": "M",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.