Steven Elais Aussenberg, M.D.
Individual provider Active NPI Family Medicine Physician · Arcata, CA
NPI 1174902936 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1174902936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A159104 (CA)
- Practice address
- 3798 Janes Rd Ste 15
Arcata, CA 95521-4746 - Phone
- (707) 726-2255
- NPI assigned
- May 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ikigai Physician Group Inc
Practice addresses (Care Compare)
3429 Renner Dr
Suite B
Fortuna, CA 95540-3104
Phone (707) 726-2255
Hospital & facility affiliations
- Providence at Home With Compassus Home Health, Humboldt
- Mad River Community Hospital
- Providence St Joseph Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 13 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190322001398 | PA | Practitioner - Family Practice | 8224343975 | Reassigns benefits to 1 organization |
| I20190424002450 | CA | Practitioner - Family Practice | 8224343975 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159104 | CA | MD | Family Medicine Physician |
| A159104 | CA | MD | Family Medicine Physician |
| 85231 | GA | MD | Family Medicine Physician |
| MD463692 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ikigai Physician Group Inc | Family Medicine | Current |
Accepting new patients |
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Tarzana Treatment Centers, Inc. | Current |
Accepting new patients | |
| Coastal Health Alliance | Current |
Accepting new patients | |
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients | |
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Signify Health Medical Associates of California, PC | Current |
Accepting new patients | |
| Tarzana Treatment Centers, Inc | Current |
Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past |
Accepting new patients |
Locations
3798 Janes Rd
Ste 15
Arcata, CA 95521
Phone (707) 726-2255
785 18th St
Arcata, CA 95521
Phone (707) 822-2481
3798 Janes Rd
Arcata, CA 95521
Phone (707) 443-8335
770 10th St
Arcata, CA 95521
Phone (707) 826-8610
1275 8th St
Arcata, CA 95521
550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636
2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051
3429 Renner Dr
#B
Fortuna, CA 95540
Phone (707) 464-6372
3429 Renner Dr
Fortuna, CA 95540
Phone (707) 296-9295
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- steven.aussenberg@316525535952900.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 159104 | CA | |
| Family Medicine Physician | 207Q00000X | MD463692 | PA | |
| Family Medicine Physician | 207Q00000X | 85231 | GA | |
| Family Medicine Physician | 207Q00000X | 57263 | AZ | |
| Family Medicine Physician | 207Q00000X | A159104 | CA | Yes |
Addresses
Primary practice location
3798 Janes Rd Ste 15
Arcata, CA 95521-4746
Mailing address
3429 Renner Dr Ste B
Fortuna, CA 95540-3104
Phone (170) 772-6225
Other providers in Arcata, CA
- Arcata School District
- Arcata-Mad River Ambulance
- Arcata-Mad River Ambulance LLC
- Dawn Arroyo
- James D Athing
- Krista Austin
- Angela Averitt
- Loren Martin Azevedo
- Danielle Baca
- Kelsey Nicole Bahena
All providers in Arcata, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.