Christine Leal Wondergem, O.T.R.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT 3770 Issued in CA

Practice address

1827 S Court St
Suite C
Visalia, CA 93277-5469

Phone

(559) 627-3274

Fax

(559) 627-3284

NPI assigned

Jul 22, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1821228065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 W CROWLEY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-627-3274",
            "fax_number": "559-627-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDERGEM",
        "first_name": "CHRISTINE",
        "middle_name": "LEAL",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT 3770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D Wiseman, M.D.
• Thimanthi Withana, DMD
• Kiara Nicole Witherspoon
• Harry Charles Wolf IV, M.D.
• Stephen Wolfe, D.O.
• Charles Wong
• Ken Wong, DDS
• Sterling Wong
• Steven L Wong, D. C.
• Christopher J. Wood, D.D.S.

• Specialist in Visalia, CA
• Providers in Visalia, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.