HEATHER KETTENIS M.D.
NPI 1558557694
Family Medicine in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since September 21, 2007

1920 COLORADO AVE, SANTA MONICA, CA 90404(310) 319-4700 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Heather Kettenis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER KETTENIS M.D. (NPI 1558557694) is an individual family medicine provider in Santa Monica, California, licensed in California (A99825) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1558557694

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameHEATHER KETTENISCredential: M.D.

Location Address1920 COLORADO AVESanta Monica, CA 90404-3414

Mailing Address1920 Colorado AveSanta Monica, CA 90404-3414 · (310) 319-4700

Phone(310) 319-4700

Sole ProprietorYes

Enumeration DateSeptember 21, 2007

✔ NPI 1558557694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A99825

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1920 COLORADO AVE, Santa Monica, CA 90404

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