Individual provider Active NPI

Amanda Doherty, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Helena, CA
National Provider Identifier
1497080568
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD61157060 Issued in WA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 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
I20110630000553 CA Practitioner - Pathology 7214115831 Reassigns benefits to 2 organizations
I20210714000564 WA Practitioner - Pathology 7214115831 Reassigns benefits to 2 organizations

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
Yosemite Pathology Medical Group IncGroup PAC ID 3072415751, 45 clinicians

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

LicenseStateTypeSpecialty
100266CAMDDentist
A100266CAMDAnatomic Pathology & Clinical Pathology Physician
MD61157060WAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Aug 5, 2012 Accepting new patients
The Polyclinic CurrentSince Oct 16, 2023 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jul 12, 2021 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 5, 2012 Accepting new patients
Yosemite Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2025 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jul 12, 2021 Accepting new patients
The Polyclinic PLLC CurrentSince Oct 16, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.