Individual provider Active NPI

Allison Yun Hee Soong Antalek, MSN, MPH, CPNP-PC

  • Pediatric Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1366180416
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95021041 Issued in CA
Practice address
730 Welch Rd
Palo Alto, CA 94304-1503
Phone
(650) 723-0993
Fax
(650) 721-6350
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95021041 CA Primary

Addresses

Primary practice location

730 Welch Rd
Palo Alto, CA 94304-1503

Mailing address

2 Haven Dr
Daly City, CA 94014-2831
Phone (626) 475-7602

Other names 1

  • Allison Yun Hee Soong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021041CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1366180416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAVEN DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142831",
            "telephone_number": "626-475-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041503",
            "telephone_number": "650-723-0993",
            "fax_number": "650-721-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTALEK",
        "first_name": "ALLISON",
        "middle_name": "YUN HEE SOONG",
        "credential": "MSN, MPH, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95021041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "SOONG",
            "middle_name": "YUN HEE",
            "credential": "MSN, MPH, CPNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.