Active NPI
Amanda Doherty, MD
- Anatomic Pathology & Clinical Pathology Physician
- Saint Helena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD61157060
- Practice address
- 10 Woodland Rd
Saint Helena, CA 94574-9554 - Phone
- (707) 963-6483
- Fax
- (707) 967-5684
- NPI assigned
- Oct 7, 2009
- Last updated
- Dec 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD61157060 | WA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A100266 | CA |
Addresses
Primary practice location
10 Woodland Rd
Saint Helena, CA 94574-9554
Mailing address
4301 N Star Way
Modesto, CA 95356-9262
Phone (209) 577-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Duke University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100266 | CA | MD | Dentist |
| A100266 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD61157060 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| The Polyclinic | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Cellnetix Pathology, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Yosemite Pathology Medical Group, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Yosemite Pathology Medical Group, in | Past | Accepting new patients | |
| Marin Medical Laboratories | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290
4301 N Star Way
Ste A
Modesto, CA 95356
1800 Harrison St
Fl 7
Oakland, CA 94612
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
1145 Broadway
Seattle, WA 98122
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
12501 E Marginal Way S
Ste 200
Tukwila, WA 98168
Phone (206) 576-6050
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
- NPI 1598760985
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Anatomic Pathology & Clinical Pathology
-
dba The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Anatomic Pathology & Clinical Pathology Physician
- Everett, WA
- NPI 1356310866
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1073944039
-
dba Optum Tacoma
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
- Anatomic Pathology & Clinical Pathology Physician
- Eureka, CA
- NPI 1356061477
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Clear Lake
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
dba Adventist Health St. Helena
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1497080568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N STAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-577-1200",
"fax_number": "209-409-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WOODLAND RD",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945749554",
"telephone_number": "707-963-6483",
"fax_number": "707-967-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD61157060",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A100266",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Helena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.