Individual provider Active NPI

Richard Joseph Andolsen, MD

  • Family Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1376533638
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G31940 Issued in CA
Practice address
465 March Ave
Suite a
Healdsburg, CA 95448-3371
Phone
(707) 433-3369
Fax
(707) 433-7013
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G31940 CA Primary

Addresses

Primary practice location

465 March Ave
Suite a
Healdsburg, CA 95448-3371

Mailing address

465 March Ave
Healdsburg, CA 95448-3371
Phone (707) 433-3369

Other identifiers 1

IdentifierTypeStateIssuer
00G319400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000522 CA Practitioner - Family Practice 6800977844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31940CAMDCounseling Psychologist
G31940CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J. Andolsen, MD Inc. Family Medicine CurrentSince Oct 25, 2007 Accepting new patients

Locations

465 March Ave
Ste A
Healdsburg, CA 95448
Phone (707) 431-1980

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376533638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MARCH AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483371",
            "telephone_number": "707-433-3369",
            "fax_number": "707-433-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MARCH AVE",
            "address_2": "SUITE A",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483371",
            "telephone_number": "707-433-3369",
            "fax_number": "707-433-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOLSEN",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G31940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G319400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.