Allergy & Asthma Adult & Pediatric Medical Group of the Redwoods Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

C132754 Issued in CA

Legal business name

ALLERGY & ASTHMA ADULT & PEDIATRIC MEDICAL GROUP OF THE REDWOODS INC

Doing business as

FamilyCare Allergy and Asthma

Practice address

100 Stony Point Rd Ste 130
Santa Rosa, CA 95401-4131

Phone

(707) 525-0211

Fax

(707) 525-0491

NPI assigned

Dec 4, 2006

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John F Petrick, BA DEGREE

Title

Ceo

Phone

(707) 525-0211

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• FamilyCare Allergy and Asthma Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juline Natalia Caraballo Fonseca, M.D.

  • Allergy & Immunology Physician
  • Santa Rosa, CA
  • NPI 1992146948
  Medicare reassignment Care Compare group NPD
• Anita Kallepalli, M.D.

  • Allergy & Immunology Physician
  • Redwood City, CA
  • NPI 1811335607
  Medicare reassignment Care Compare group NPD
• Maria M. Petrick, M.D.

  • Allergy & Immunology Physician
  • Santa Rosa, CA
  • NPI 1396743605
  Medicare reassignment Care Compare group NPD
• Jewmaull Josiah Reed, MD

  • Allergy Physician
  • Ukiah, CA
  • NPI 1316174352
  Medicare reassignment NPD
• Christine Anne Royer, M.D.

  • Allergy & Immunology Physician
  • Santa Rosa, CA
  • NPI 1730566613
  Medicare reassignment NPD
• Stephanie Lisette Bedolla, NP-C

  • Adult Health Nurse Practitioner
  • Petaluma, CA
  • NPI 1265717565
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1730257932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONY POINT RD STE 130",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014131",
            "telephone_number": "707-525-0211",
            "fax_number": "707-525-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONY POINT RD STE 130",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014131",
            "telephone_number": "707-525-0211",
            "fax_number": "707-525-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Civic Center Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949034129",
            "country_code": "US",
            "telephone_number": "707-525-0211",
            "fax_number": "707-525-0491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA ADULT & PEDIATRIC MEDICAL GROUP OF THE REDWOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "PETRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-525-0211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA DEGREE"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "C132754",
            "primary": true
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "CA",
            "license": "G29076",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "CA",
            "license": "G33461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIN NUMBER",
            "identifier": "HKRAA3F00",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ95243Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamilyCare Allergy and Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Allen, RAS #M0605161317
• Leila Allen, SLP-MS
• Michelle Edwards Allen, PHARMD, BCPS, FCCM,
• Nancy Bell Allen, FNP
• Shaline Allen
• Allison Pieraccini, LCSW
• Elizabeth Allison
• Eric Robert Allison
• Kristi Lynn Allison
• Waid Charles Allred

• Allergy & Immunology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.