Ikigai Physician Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IKIGAI PHYSICIAN GROUP INC

Practice address

3429 Renner Dr Ste B
Fortuna, CA 95540-3104

Phone

(707) 726-2255

Fax

(707) 949-9715

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Katherine Anne Talbert Estlin, MDNPI 1255574885

Title

Owner

Phone

(707) 726-2255

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Anne Talbert Estlin, MD

  • Family Medicine Physician
  • Fortuna, CA
  • NPI 1255574885

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Steven Elais Aussenberg, M.D.

  • Family Medicine Physician
  • Arcata, CA
  • NPI 1174902936

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD
• Stephanie S Dittmer, MD

  • Family Medicine Physician
  • Fortuna, CA
  • NPI 1942422688

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD
• Tamara Smith Douglass, M.D.

  • Family Medicine Physician
  • Fortuna, CA
  • NPI 1952396103

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD
• Andrew Turner, DO

  • Family Medicine Physician
  • Crescent City, CA
  • NPI 1366895831

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1043830813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 RENNER DR STE B",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403104",
            "telephone_number": "707-726-2255",
            "fax_number": "707-949-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 RENNER DR STE B",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403104",
            "telephone_number": "707-726-2255",
            "fax_number": "707-949-9715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3798 Janes Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Arcata",
            "state": "CA",
            "postal_code": "955214746",
            "country_code": "US",
            "telephone_number": "707-726-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IKIGAI PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ESTLIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANNE TALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-726-2255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ikigaiphysicians.com",
            "affiliation": "N",
            "endpointDescription": "Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3429 Renner Dr",
            "city": "Fortuna",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955403104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jack L. Guccione
• Rebecca Jernigan, MFT INTERN
• Sheri A Jewett, CMT
• Robert Earl Johnson, RPH
• Jones and Bellah MDS

• All providers in Fortuna, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.