Shun Di Shirley Tong-Antolin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95023479 Issued in CA

Practice address

319 N Church St
Visalia, CA 93291-5008

Phone

(855) 733-7772

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shirley Shun Di Tong-Antolin Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marwan Zoghbi MD Inc

  • Primary Care Clinic/Center
  • Visalia, CA
  • NPI 1508376013
  Medicare reassignment NPD
• Elite Corporate Medical Services Inc.

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1598276032
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1316651268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N SILVERVALE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932910027",
            "telephone_number": "415-200-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N CHURCH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915008",
            "telephone_number": "855-733-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG-ANTOLIN",
        "first_name": "SHUN DI",
        "middle_name": "SHIRLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95023479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "TONG-ANTOLIN",
            "middle_name": "SHUN DI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Virginia Juanita Tolento, CAODC
• Tom Yang MD Inc
• Sandra Tomlinson-Hansen, M.D.
• Lance Toshio Tomooka, MD
• David William Toms, ASW
• Betty Irene Tonini, CASE MANAGER
• Michael David Toomey, ATC
• Andrea Torres Perez, DO
• Sandra Paola Torres Zamora
• Rocio Torres-Amezcua

• Family Nurse Practitioner in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.