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

Anita Vasudevan, MD

Individual provider Family Medicine Physician · NPI 1487281218

Anita Vasudevan, MD is a Family Practice in Sebastopol, California. Graduated from University of Texas Southwestern Medical School at Dallas in 2020, 6 years ago. Practices with West County Health Centers, Inc, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
CA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

652 Petaluma Ave Ste H
Sebastopol, CA 95472-4266
Phone: (707) 823-3166
Fax: (707) 869-8171
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A186837 (CA)

Record details

NPI number1487281218
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESMarch 20, 2024
Certification dateAugust 14, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2020 (6 years in practice)
Group practice West County Health Centers, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sebastopol