Katherine Anne Talbert Estlin, MD
Individual provider Active NPI Family Medicine Physician · Fortuna, CA
NPI 1255574885 · NPPES record last updated May 19, 2023
Key facts
- NPI
- 1255574885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A143957 (CA)
- Practice address
- 3429 Renner Dr
Fortuna, CA 95540-3104 - Phone
- (707) 726-2255
- Fax
- (707) 949-9715
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Southern California Keck School of Medicine, 2008
- 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
3429 Renner Dr B
Fortuna, CA 95540-3104
Hospital & facility affiliations
- Providence St Joseph Hospital
- Mad River Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 22 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20161024002461 | CA | Practitioner - Family Practice |
8426208547 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A143957 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 | |
| Ikigai Physician Group Inc | Family Medicine | Current |
Accepting new patients |
| Open Door Community Health Centers | Current |
Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients |
Locations
3798 Janes Rd
Ste 15
Arcata, CA 95521
Phone (707) 726-2255
770 10th St
Arcata, CA 95521
Phone (707) 826-8610
1275 8th St
Arcata, CA 95521
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) 269-7051
2426 Buhne St
Eureka, CA 95501
Phone (707) 442-4038
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
2350 Buhne St
Ste A
Eureka, CA 95501
Phone (707) 443-4593
3750 Rohnerville Rd
Fortuna, CA 95540
Phone (707) 725-4477
3306 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6101
3429 Renner Dr
#B
Fortuna, CA 95540
Phone (707) 464-6372
3429 Renner Dr
Fortuna, CA 95540
Phone (707) 296-9295
1523 Main St
Fortuna, CA 95540
Phone (707) 464-6372
670 9th St
Ste 203
McKinleyville, CA 95521
1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068
Interoperability endpoints
- katherine.talbert@316525535952900.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A143957 | CA | Yes |
Addresses
Primary practice location
3429 Renner Dr
Fortuna, CA 95540-3104
Mailing address
3429 Renner Dr
Fortuna, CA 95540-3104
Phone (707) 726-2255
Other names
- Ms. Katherine Anne Talbert
Other providers in Fortuna, CA
- Kelly Ehrhardt
- Kerisa Sue Elloway
- Courtney Embry
- Gabriel Enriquez
- Dana Louise Estevo
- Family Foot Care Specialist Podiatry Center
- Family Foot Care Specialists Podiatry Center Inc
- Neal E Feuerman
- Ana Fernanda Fierro
- Amber Ford
All providers in Fortuna, 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 May 19, 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.