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

MS. Athena Elizabeth Andersen, MD

Individual provider Family Medicine Physician · NPI 1396802021

MS. Athena Elizabeth Andersen, MD is a Family Practice in Orange, California. Graduated from Medical College of Wisconsin in 2001, 25 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
25
Trained at
Medical College of Wisconsin
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

1201 W La Veta Ave Ste 700
Orange, CA 92868-4213
Phone: (714) 288-3230
Fax: (714) 744-5294
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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 A81380 (CA)

Record details

NPI number1396802021
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021
Mailing address2501 E Chapman Ave, Orange, CA 92869-3223

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2001 (25 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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