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

Kathryn Anderson, MD

Individual provider Emergency Medicine Physician · NPI 1730640707

Kathryn Anderson, MD is an Emergency Medicine in San Diego, California. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California and Illinois.

Years since qualifying
7
Licensed in
AZ, CA, IL
In the registry since
2019
Specialties on file
3
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

4647 Zion Ave Ste 1116
San Diego, CA 92120-2507
Phone: (619) 528-5164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1443 — (773) 702-1000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A177926 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 74515 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125.073868 (IL)

Record details

NPI number1730640707
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2019
Last updated in NPPESFebruary 9, 2025
Certification dateFebruary 9, 2025
Mailing address4647 Zion Ave Ste 1116, San Diego, CA 92120-2507

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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