Individual provider Active NPI

Anita Kallepalli, M.D.

  • Allergy & Immunology Physician
  • Redwood City, CA
National Provider Identifier
1811335607
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A150289 Issued in CA
Practice address
730 Woodside Rd
Redwood City, CA 94061-3749
Phone
(650) 368-8800
NPI assigned
Jun 13, 2013
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A150289 CA Primary

Addresses

Primary practice location

730 Woodside Rd
Redwood City, CA 94061-3749

Mailing address

PO Box 54679
Los Angeles, CA 90054-0679
Phone (773) 702-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180108002783 CA Practitioner - Allergy/ImmunologyPractitioner - Hospitalist 8022236405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Southwestern Medical School at Dallas, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4000 Civic Ctr Dr
Suite 310
San Rafael, CA 94903-4129
Phone (415) 847-4022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150289CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Asthma and Allergy Center P.C. Allergy & Immunology CurrentSince Aug 1, 2019 Accepting new patients
Allergy & Asthma Adult & Pediatric Medical Group of the Redwoods Inc Allergy & Immunology CurrentSince Apr 17, 2023 Accepting new patients

Locations

1383 N McDowell Blvd
Ste 130
Petaluma, CA 94954
Phone (707) 525-0211

730 Woodside Rd
Redwood City, CA 94061
Phone (650) 368-8800

4000 Civic Center Dr
Ste 310
San Rafael, CA 94903
Phone (415) 847-4022

130 Stony Point Rd
Ste E
Santa Rosa, CA 95401
Phone (707) 525-0211

2461 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 525-0211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1811335607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540679",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WOODSIDE RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613749",
            "telephone_number": "650-368-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLEPALLI",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A150289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.