Provider Type Icon

DR. SALLY MARIE WONDERLY MD NPI 1780636092


NPI Information

NPI: 1780636092
Provider Name: DR. SALLY MARIE WONDERLY, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: CLINICA SIERRA VISTA

PECOS Registration: Yes

Address:
625 34TH ST STE 100
BAKERSFIELD, CA
ZIP 93301
Phone: (833) 678-2781
Get Directions

DR. Sally Marie Wonderly, MD is an obstetrics gynecology in Bakersfield, CA with 28 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Sally Marie Wonderly, MD NPI is 1780636092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1996

The provider's business location address is:

625 34TH ST STE 100
BAKERSFIELD, CA
ZIP 93301-307
Phone: (833) 678-2781
Fax: (661) 368-0618

The NPI 1780636092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 1/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyC52854CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.