Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Baumann

Individual provider Physician Assistant · NPI 1174360408

Amanda Baumann is a Physician Assistant in Santa Rosa, California. Qualified in 2024, 2 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

510 Doyle Park Dr
Santa Rosa, CA 95405-4570
Phone: (707) 303-8323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174360408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESMarch 9, 2025
Certification dateMarch 9, 2025
Mailing address510 Doyle Park Dr, Santa Rosa, CA 95405-4570

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Santa Rosa