Amanda Jo Reiner · Family Medicine Physician

75 Rowland Way Ste 200, Novato, CA 94945-5054

Overview

Amanda Jo Reiner is a Family Medicine Physician practicing in Novato, California. The National Provider Identifier (NPI) is #1063036465, which was assigned on June 1, 2020, and the registration record was last updated on August 25, 2025. The practitioner's main practice location is at 75 Rowland Way Ste 200, Novato, CA 94945-5054; the contact telephone number is 4158979664. The primary taxonomy of Amanda Jo Reiner is Family Medicine Physician (207Q00000X). Amanda Jo Reiner is licensed to practice in the state of California (#20A23066), Texas (#BP10071558).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1063036465
Entity Type Individual
Provider Name AMANDA JO REINER
Gender Female
Credential DO
Practice Address 75 Rowland Way Ste 200
Novato
CA 94945-5054
Practice Telephone 4158979664
Mailing Address 75 Rowland Way Ste 200
Novato
CA 94945-5054
Mailing Telephone 4158979664
Certification Date 2025-08-25
Enumeration Date 2020-06-01
Last Update Date 2025-08-25
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5890117956
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name AMANDA JO REINER
Medical School ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Primary Specialty FAMILY PRACTICE
Organization Legal Name SUTTER LAKESIDE HOME MEDICAL SERVICES
Address 5176 Hill Rd E
Lakeport
CA 95453-6300

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207Q00000XFamily Medicine20A23066CA
N390200000XStudent in an Organized Health Care Education/Training ProgramBP10071558TX

Secondary Practice Locations

AddressTelephoneFax
11130 Christus Hills, Medical Plaza 3, 3rd Fl, San Antonio, TX 78251358521070390012107039155

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Other Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Bedford Medical Center 9528 Lincoln Hwy Ste 1, Bedford, PA 15522-3764Family Medicine Physician2026-02-06
Lyv Health PLLC 367 W Watercress Dr, Saratoga Springs, UT 84045-5112Family Medicine Physician2026-02-06
Good Health Medical, PLLC 2908 N Campbell Ave, Tucson, AZ 85719-2876Family Medicine Physician2026-02-06
Suzanne Fisher 2230 N Ridge Rd, Wichita, KS 67205-1053Family Medicine Physician2026-02-06
Lauren Tegarden Basham 401 S Us Highway 31, Austin, IN 47102-8732Family Medicine Physician2026-02-05
Art Medical PC 4889 Golden Pkwy, Buford, GA 30518-5877Family Medicine Physician2026-02-05
Vg Medical Practice Psc Carr. 349 Km 2.9, Cerro Las Mesas, Mayaguez, PR 00680Family Medicine Physician2026-02-05
Tyler Lewis Stephenson 812 Amherst St Ste 101, Winchester, VA 22601-3344Family Medicine Physician2026-02-05
De Trinity Pm Health 2600 Glasgow Ave Ste 104, Newark, DE 19702-5703Family Medicine Physician2026-02-06
Valor Health Group Medical Corporation 41715 Winchester Rd, Temecula, CA 92590-4808Family Medicine Physician2026-02-06
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Location Information

Street Address 75 ROWLAND WAY STE 200
City NOVATO
State CA
Zip Code 94945-5054
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Humberto Trevino Jr. 75 Rowland Way Ste 200, Novato, CA 94945-5054Family Medicine Physician2020-06-02
Nurit Licht 75 Rowland Way Ste 200, Novato, CA 94945-5054Family Medicine Physician2005-08-18
Aditi Bhagat 75 Rowland Way Ste 200, Novato, CA 94945-5054Family Medicine Physician2016-07-07

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Byron Urdaneta 15 San Marin Dr, Novato, CA 94945-1117Health & Wellness Coach2025-10-02
Ashley Elizabeth Lum 1427 Grant Ave, Novato, CA 94945-3118Physical Therapist2025-11-01
Esri Jarid Hernandez Perez 1017 7th St, Novato, CA 94945Health & Wellness Coach2025-10-03
Whole Mind PC 505 San Marin Dr Ste B150, Novato, CA 94945-1362Psychiatry Physician2025-06-04
Caley Keene 15 San Marin Dr, Novato, CA 94945-1117School Counselor2025-09-18
Elissa Roy 1333 7th St, Novato, CA 94945-1801Rehabilitation Practitioner2025-10-04
Sarah Suval 1015 7th St, Novato, CA 94945-2205Clinical Social Worker2025-09-18
Francisco Javier Bernal 1333 7th St, Novato, CA 94945-1801Rehabilitation Practitioner2025-05-16
Sara Mathew Holmes 97 San Marin Dr, Novato, CA 94945-1100Nephrology Physician2011-07-29
Jason Trackim 1015 7th St, Novato, CA 94945-2293School Psychologist2025-10-14
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.