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

Kathleen Andersen, MD

Individual provider Family Medicine Physician · NPI 1679570899

Kathleen Andersen, MD is a Family Medicine Physician in Sebastopol, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

555 Petaluma Ave #A
Sebastopol, CA 95472-4224
Phone: (707) 823-3210
Fax: (707) 823-1710
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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 G58153 (CA)

Record details

NPI number1679570899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2005
Last updated in NPPESJuly 13, 2026
Mailing address555 Petaluma Ave, A, Sebastopol, CA 95472-4224

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