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Amanda Wongsonegoro, CMT
NPI 1649480039 · Specialist · Petaluma, CA
Amanda Wongsonegoro, CMT is a Specialist provider in Petaluma, CA (NPI 1649480039).
Provider details
- NPI number
- 1649480039
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CMT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
35 Petaluma Blvd N
Petaluma, CA 94952-3001
Phone: (707) 477-5402
Fax: (707) 762-4316
Street-level locationGet directions
Mailing address
332 Keokuk St
Petaluma, CA 94952-2729
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Amanda Wongsonegoro's NPI number?
- Amanda Wongsonegoro's National Provider Identifier (NPI) is 1649480039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Wongsonegoro's specialty?
- Amanda Wongsonegoro is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Amanda Wongsonegoro located?
- Amanda Wongsonegoro's practice location on file with NPPES is 35 Petaluma Blvd N, Petaluma, CA 94952-3001.
- What is Amanda Wongsonegoro's phone number?
- The practice phone number listed in the NPPES registry for Amanda Wongsonegoro is (707) 477-5402.
- Is Amanda Wongsonegoro's NPI active?
- Yes — Amanda Wongsonegoro's NPI (1649480039) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.