| Juline Natalia Caraballo Fonseca, MD | |
|
130 Stony Point Rd Ste E, Santa Rosa, CA 95401-4120 | |
| (707) 525-0211 | |
| (707) 525-0491 |
| Full Name | Juline Natalia Caraballo Fonseca |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 15 Years |
| Location | 130 Stony Point Rd Ste E, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992146948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | A-155471 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allergy And Asthma Adult And Pediatric Medical Group Of The Redwoods I | 8921084773 | 3 |
| Entity Name | Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730257932 PECOS PAC ID: 8921084773 Enrollment ID: O20110209000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Juline Natalia Caraballo Fonseca, MD 130 Stony Point Rd Ste E, Santa Rosa, CA 95401-4120 Ph: (707) 525-0211 | Juline Natalia Caraballo Fonseca, MD 130 Stony Point Rd Ste E, Santa Rosa, CA 95401-4120 Ph: (707) 525-0211 |
Mr. Michael E Martin, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2461 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-525-0211 Fax: 707-525-0491 | |
Dr. Maria M. Petrick, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401 Phone: 707-525-0211 Fax: 707-525-0491 | |
Dr. Kenneth M. Kurtz, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Albert Haas Iii, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Christine Anne Royer, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 130 Stony Point Rd Ste E, Santa Rosa, CA 95401 Phone: 707-525-0211 |