Sally Marie Wonderly, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C52854 Issued in CA

Practice address

625 34TH St Ste 100
Bakersfield, CA 93301-2307

Phone

(833) 678-2781

Fax

(661) 368-0618

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sally Wonderly Nalesnik Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

87.51 of 100Reported as group

Quality

84.12

Promoting interoperability

100

Improvement activities

40

Cost

74.24

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
• Direct secure messaging: sally.wonderly.1@10944.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Hoag Clinic

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1942799523
  Medicare reassignment NPD
• Regents of the University of California

  • Obstetrics & Gynecology Physician
  • Orange, CA
  • NPI 1356304034
  Medicare reassignment NPD
• Advanced Womens Health Center, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
  • NPI 1801962345
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1780636092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012307",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012307",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064018",
            "country_code": "US",
            "telephone_number": "661-326-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 34th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012307",
            "country_code": "US",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONDERLY",
        "first_name": "SALLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C52854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "NALESNIK",
            "middle_name": "WONDERLY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Sherene Womack
• Tyler Womack
• Carrie Marie Wombacher, LCSW
• Women of Worth Recovery House
• Womens Care Center a Medical Group Inc
• Melissa Wondra
• Alexander F Wong, PA
• Apinya Wong
• Caroline Wong, MD
• Charles David Wong, D.O.

• Obstetrics & Gynecology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.