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

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.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Family Practice
Also: Hospitalist
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 (4 clinicians)

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 Hospital · Eureka, CA · CCN 050006
  • Mad River Community Hospital Hospital · Arcata, CA · CCN 050028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions22
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy12

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 IDStateProvider typePAC IDDetails
I20161024002461 CA Practitioner - Family Practice
Practitioner - Hospitalist
8426208547 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A143957CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers Current
since Aug 29, 2016
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
since Sep 5, 2019
Accepting new patients
Open Door Community Health Centers Current
since Aug 29, 2016
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

  • Direct secure messaging: katherine.talbert@316525535952900.direct.elationemr.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Other providers in Fortuna, CA

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

Sources for this page

Verify at the official NPI Registry.