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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTONETTE MALIWAT ANTONIO N.P
NPI 1740618420
Nurse Practitioner - Family in San Diego, CA

Active since October 16, 2013PECOS EnrolledAccepts Medicare Assignment
3851 ROSECRANS STREET, SUITE 128, SAN DIEGO, CA 92110(619) 692-8890 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Dec 31, 2015 (2 updates tracked since 2015).

About Antonette Maliwat Antonio N.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONETTE MALIWAT ANTONIO N.P (NPI 1740618420) is an individual family provider in San Diego, California, licensed in California (23320) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740618420
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANTONETTE MALIWAT ANTONIOCredential: N.P
Location Address3851 ROSECRANS STREET, SUITE 128San Diego, CA 92110
Mailing Address5054 Lambert LaneSan Diego, CA 92115 · (619) 829-5497
Phone(619) 692-8890
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 16, 2013
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1740618420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 23320
3851 ROSECRANS STREET, SUITE 128, San Diego, CA 92110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonette Maliwat Antonio N.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416477781
PECOS Enrollment IDI20250218001302
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Antonette Antonio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Somagen Healthcare Inc
2.1 mi
Urgent Care
1740 ROSECRANS ST
San Diego, CA 92106
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
NPI 1952995466 (855) 362-9773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonette Antonio's NPI number?

The NPI number for Antonette Antonio is 1740618420. It was assigned to this individual provider in the NPPES registry on October 16, 2013.

Where is Antonette Antonio located?

Antonette Antonio practices at 3851 Rosecrans Street, Suite 128, San Diego, CA 92110. The listed phone number is (619) 692-8890.

What is Antonette Antonio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Antonette Antonio enrolled in Medicare?

Yes. Antonette Antonio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Antonette Antonio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonette Antonio reassigns Medicare benefits to Somagen Healthcare Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonette Antonio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Antonette Antonio was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.