Individual provider Active NPI

Amy Kathleen McEntee, D.O.

  • Family Medicine Physician
  • Watsonville, CA
National Provider Identifier
1710181599
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2OA9472 Issued in CA
Practice address
1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone
(831) 763-8400
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2OA9472 CA Primary

Addresses

Primary practice location

1430 Freedom Blvd
Watsonville, CA 95076-2780

Mailing address

1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone (831) 763-8400

Other practice location 1

45 Neilson St
Watsonville, CA 95076-2468
Phone (831) 728-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101220001047 CA Practitioner - Family Practice 6406044361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa CruzGroup PAC ID 7618872912, shared by 4 NPIs, 65 clinicians
Salud Para la GenteGroup PAC ID 8729984729, 41 clinicians

Practice addresses (Care Compare)

1080 Emeline Ave
Santa Cruz, CA 95060-1966
Phone (831) 454-5401

204 E Beach St
Watsonville, CA 95076-4809
Phone (831) 728-8250

Hospital & facility affiliations

  • Bridge Home Health Home health agency, Salinas, CA, CCN 559775
  • Choice Home Health Care Home health agency, Monterey, CA, CCN 557461
  • Premier Home Health Providers Inc. Home health agency, San Jose, CA, CCN 059180
  • Sutter Care at Home Home health agency, Santa Cruz, CA, CCN 057007
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2OA9472CAMDFamily Medicine Physician
9472CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Cruz CurrentSince Mar 1, 2024 Accepting new patients
County of Santa Cruz Current Accepting new patients
County of Santa Cruz CurrentSince Mar 1, 2024 Accepting new patients
County of Santa Cruz CurrentSince Mar 1, 2024 Accepting new patients
Salud Para la Gente Current Accepting new patients
Salud Para la Gente CurrentSince Jul 25, 2011 Accepting new patients

Locations

1080 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4100

1430 Freedom Blvd
Ste D
Watsonville, CA 95076
Phone (831) 763-8400

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

1430 Freedom Blvd
Watsonville, CA 95076
Phone (831) 763-8200

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

195 Aviation Way
Ste 200
Watsonville, CA 95076

Organizations & group practices 6

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 6

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1710181599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762780",
            "telephone_number": "831-763-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762780",
            "telephone_number": "831-763-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Neilson St",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762468",
            "country_code": "US",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCENTEE",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "2OA9472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.