1. Home
  2. Directory
  3. California
  4. Stanford
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ALAN GREGORY SOETIKNO
NPI 1740892561
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since August 21, 2020
300 PASTEUR DR, LANE 154, STANFORD, CA 94305(650) 723-6661(650) 498-6205 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Aug 21, 2020 (2 updates tracked since 2020).

About Alan Gregory Soetikno NPPES

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

ALAN GREGORY SOETIKNO (NPI 1740892561) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1740892561
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALAN GREGORY SOETIKNO
Location Address300 PASTEUR DR, LANE 154Stanford, CA 94305-5133
Mailing Address300 Pasteur Dr, Lane 154Stanford, CA 94305-5133 · (650) 723-6661 · Fax (650) 498-6205
Phone(650) 723-6661
Fax(650) 498-6205
Sole ProprietorYes
Enumeration DateAugust 21, 2020
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1740892561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 PASTEUR DR, Stanford, CA 94305
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISTA CHARUWORN MD
Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Santa Clara County (650) 723-6661
ANDREW CHARLES PICEL M.D
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
MATTHEW A WRIGHT M.D. PH.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. QUAZI ZUBAIR AL-TARIQ M.D.
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
ANGIE DEE MURKINS NP
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. JAMSHID GHAJAR MD PHD
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
SARA BAKHTARY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
YU KUANG LAI MD
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000

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 Alan Soetikno's NPI number?

The NPI number for Alan Soetikno is 1740892561. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Alan Soetikno located?

Alan Soetikno practices at 300 Pasteur Dr Lane 154, Stanford, CA 94305. The listed phone number is (650) 723-6661.

What is Alan Soetikno's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alan Soetikno was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.