Individual provider Active NPI

Steven Elais Aussenberg, M.D.

  • Family Medicine Physician
  • Arcata, CA
National Provider Identifier
1174902936
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A159104 Issued in CA
Practice address
3798 Janes Rd Ste 15
Arcata, CA 95521-4746
Phone
(707) 726-2255
NPI assigned
May 27, 2015
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190322001398 PA Practitioner - Family Practice 8224343975 Reassigns benefits to 1 organization
I20190424002450 CA Practitioner - Family Practice 8224343975 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 7012332208, 4 clinicians

Practice addresses (Care Compare)

3429 Renner Dr
Suite B
Fortuna, CA 95540-3104
Phone (707) 726-2255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57263AZMDFamily Medicine Physician
159104CAMDFamily Medicine Physician
A159104CAMDFamily Medicine Physician
85231GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ikigai Physician Group Inc Family Medicine CurrentSince Oct 15, 2023 Accepting new patients
Coastal Health Alliance CurrentSince Mar 13, 2019 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Mar 1, 2021 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Tarzana Treatment Centers, Inc CurrentSince Aug 1, 2020 Accepting new patients
Tarzana Treatment Centers, Inc. 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. CurrentSince Aug 1, 2020 Accepting new patients
Open Door Community Health Centers CurrentSince Mar 15, 2021 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers CurrentSince Mar 15, 2021 Accepting new patients
St. Joseph Health Northern California, LLC PastSince Oct 15, 2023 Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

3798 Janes Rd
Arcata, CA 95521
Phone (707) 443-8335

3798 Janes Rd
Ste 15
Arcata, CA 95521
Phone (707) 726-2255

770 10th St
Arcata, CA 95521
Phone (707) 826-8610

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636

2200 Tydd St
Eureka, CA 95501
Phone (707) 441-1624

3429 Renner Dr
Fortuna, CA 95540
Phone (707) 296-9295

3429 Renner Dr
#B
Fortuna, CA 95540
Phone (707) 464-6372

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

  • Direct secure messaging: steven.aussenberg@316525535952900.direct.elationemr.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1174902936",
    "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": "170-772-6225",
            "fax_number": "707-826-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 15",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214746",
            "telephone_number": "707-726-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSSENBERG",
        "first_name": "STEVEN",
        "middle_name": "ELAIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "159104",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD463692",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "85231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "57263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A159104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.