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

Kenneth L. Anderson III, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1437172533

Kenneth L. Anderson III, DO is a Family Practice in San Diego, California. Graduated from Philadelphia College of Osteopathic Medicine in 1984, 42 years ago. Practices with Sd Sports Medicine and Family Health Center, a 38-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
42
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1945 Garnet Ave
San Diego, CA 92109-3595
Phone: (858) 224-7977
Fax: (858) 224-7978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A5441 (CA)

Record details

NPI number1437172533
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESNovember 3, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1984 (42 years in practice)
Group practice Sd Sports Medicine And Family Health Center — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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