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

Katrina Rose Koslov, MD

Individual provider Family Medicine Physician · NPI 1790280774

Katrina Rose Koslov, MD is a Family Practice in Albany, California. Graduated from University of California, Geffen School of Medicine in 2018, 8 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2018
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

500 San Pablo Ave
Albany, CA 94706-1103
Phone: (510) 204-8130
Fax: (510) 506-7726
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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 A165575 (CA)

Record details

NPI number1790280774
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing address325 Distel Cir, Los Altos, CA 94022-1408

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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