Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonette Maliwat Antonio, NP

Individual provider Registered Nurse · NPI 1740618420

Antonette Maliwat Antonio, NP is a Nurse Practitioner in San Diego, California. Qualified in 2013, 13 years ago. Practices with Somagen Healthcare Inc, a 54-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3851 Rosecrans St Ste 128
San Diego, CA 92110
Phone: (619) 692-8890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 23320 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 753737 (CA)

Record details

NPI number1740618420
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 16, 2013
Last updated in NPPESDecember 31, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Somagen Healthcare Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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