Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROBERTA PALAU ANTILLON MD
NPI 1417536400
Anesthesiology - Pediatric Anesthesiology in San Diego, CA

Q: What is Roberta Palau Antillon's NPI number?

The NPI number for Roberta Palau Antillon is 1417536400. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Roberta Palau Antillon's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Active since April 06, 2021PECOS Enrolled

3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-8327 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Dec 1, 2025, Apr 6, 2021 (3 updates tracked since 2021).

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About Dr. Roberta Palau Antillon Md NPPES

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

DR. ROBERTA PALAU ANTILLON MD (NPI 1417536400) is an individual pediatric anesthesiology provider in San Diego, California, licensed in California (A181036) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417536400

Entity TypeIndividualFemale

Primary Taxonomy207LP3000X

Provider Legal NameDR. ROBERTA PALAU ANTILLONCredential: MD

Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way, Mc5003San Diego, CA 92123-4223 · (858) 576-1700

Phone(858) 966-8327

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 6, 2021

Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2026

✔ NPI 1417536400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in CA · A181036

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedAnesthesiologyTaxonomy 207L00000X · License A181036 (CA)

3020 CHILDRENS WAY, San Diego, CA 92123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roberta Palau Antillon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113419599

PECOS Enrollment IDI20251124000617

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Roberta Palau Antillon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stanford Health Care

428 mi

General Acute Care Hospital

300 PASTEUR DRIVE
Stanford, CA 94305

Reassigned Medicare billing, California enrollment
4,258 clinicians in this Medicare group

NPI 1437292927 (650) 723-4000

Lpch Medical Group Div Of Lucile

428 mi

Children

725 WELCH RD
Palo Alto, CA 94304

Reassigned Medicare billing, California enrollment
3,617 clinicians in this Medicare group

NPI 1417907940 (650) 498-6762

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. NATALIE E. ELLINGTON MD

Pathology (Pediatric Pathology)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-5944

SHANNA MICHAEL MILLER-NABAS RDN

Physician Assistant

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

DR. ADRIANA HERRERA TREMOULET M.D.

Pediatrics (Pediatric Infectious Diseases)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-7785

LORI MCCURDY M.S., CCC-SLP

Speech-Language Pathologist

3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123

San Diego County (858) 968-5838

MS. ANN M SUMIDA-JOHNSON M.A..

Audiologist

3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123

San Diego County (858) 966-5838

RICHARD JOHN NEWTON M.D.

Pediatrics

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

DR. SHAHFAR KHAN M.D.

Pediatrics (Pediatric Emergency Medicine)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

CARLY BETH WELCH CPNP-AC

Nurse Practitioner (Pediatrics)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

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 Roberta Palau Antillon's NPI number?

The NPI number for Roberta Palau Antillon is 1417536400. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Roberta Palau Antillon located?

Roberta Palau Antillon practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8327.

What is Roberta Palau Antillon's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Roberta Palau Antillon enrolled in Medicare?

Yes. Roberta Palau Antillon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roberta Palau Antillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Palau Antillon reassigns Medicare benefits to 2 organizations: Stanford Health Care (Stanford, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). Each 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 Roberta Palau Antillon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roberta Palau Antillon was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.