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

Heather Kettenis, MD

Individual provider Family Medicine Physician · NPI 1558557694

Heather Kettenis, MD is a Family Medicine Physician in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone: (310) 319-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A99825 (CA)

Record details

NPI number1558557694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2007
Last updated in NPPESSeptember 21, 2007

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