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SAN DIEGO INSTITUTE OF PLASTIC SURGERY
NPI 1407925597
Plastic Surgery in San Diego, CA

Active since November 06, 2006
16766 BERNARDO CENTER DR, SUITE 109, SAN DIEGO, CA 92128(858) 592-9200(858) 592-9218 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San Diego Institute Of Plastic Surgery NPPES

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

SAN DIEGO INSTITUTE OF PLASTIC SURGERY (NPI 1407925597) is a healthcare organization registered as a plastic surgery in San Diego, California and active in the NPI registry since November 2006. The organization lists Antoine Hallak, Owner, as its authorized official.

NPPES Registry Identity

NPI1407925597
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameANTOINE HALLAK MD, INC
Location Address16766 BERNARDO CENTER DR, SUITE 109San Diego, CA 92128-2545
Mailing Address16766 Bernardo Center Dr, Suite 109San Diego, CA 92128-2545 · (858) 592-9200 · Fax (858) 592-9218
Phone(858) 592-9200
Fax(858) 592-9218
Organization SubpartNo
Authorized OfficialAntoine HallakOwner · (858) 592-9200
Enumeration DateNovember 6, 2006
Last NPPES UpdateMarch 19, 2013
✔ NPI 1407925597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A87305
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
16766 BERNARDO CENTER DR, San Diego, CA 92128
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Other Names 1

Doing Business AsSan Diego Institute Of Plastic Surgery

Other Identifiers 1

Medicare ID-Type UnspecifiedW18521CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Institute Of Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Diego Institute Of Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Antoine Hallak, M.D.
Plastic and Reconstructive Surgery
NPI 1811058415
16766 BERNARDO CENTER DR SUITE 109
San Diego, CA 92128
(858) 592-9200
✔ PECOS✔ Accepts MedicareSame address

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

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 Antoine Hallak MD, Inc's NPI number?

The NPI number for Antoine Hallak MD, Inc is 1407925597. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as San Diego Institute Of Plastic Surgery.

Where is Antoine Hallak MD, Inc located?

Antoine Hallak MD, Inc is located at 16766 Bernardo Center Dr Suite 109, San Diego, CA 92128. The listed phone number is (858) 592-9200.

What is Antoine Hallak MD, Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Antoine Hallak MD, Inc enrolled in Medicare?

Yes. Antoine Hallak MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Antoine Hallak MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Antoine Hallak MD, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Antoine Hallak MD, Inc was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.