Wondermed of California, Inc
NPI 1639824105 · Family Medicine Physician · Venice, CA
Wondermed of California, Inc is a Family Medicine Physician organization in Venice, CA (NPI 1639824105).
Provider details
- NPI number
- 1639824105
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Santino Labate, Compliance(949) 201-6090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 333 Washington Blvd # 130Marina Del Rey, CA 90292-5152Phone: (310) 692-1469
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-03-28
- Certified
- 2022-03-18
Frequently asked questions
- What is Wondermed of California, Inc's NPI number?
- Wondermed of California, Inc's National Provider Identifier (NPI) is 1639824105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wondermed of California, Inc?
- Wondermed of California, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wondermed of California, Inc located?
- Wondermed of California, Inc's practice location on file with NPPES is 828 Crestmoore Pl, Venice, CA 90291-4931.
- What is Wondermed of California, Inc's phone number?
- The practice phone number listed in the NPPES registry for Wondermed of California, Inc is (310) 692-1469.
- Who is the authorized official for Wondermed of California, Inc?
- The authorized official listed on Wondermed of California, Inc's NPPES record is Santino Labate, Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wondermed of California, Inc's NPI active?
- Yes — Wondermed of California, Inc's NPI (1639824105) is active in the NPPES registry as of the last update on 2022-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.