JACQUELINE SELIM ANTOUN MD
NPI 1700527629
Pediatrics in San Francisco, CA

Q: What is Jacqueline Antoun's NPI number?

The NPI number for Jacqueline Antoun is 1700527629. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Jacqueline Antoun's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Antoun was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 05, 2022PECOS Enrolled

45 CASTRO ST STE 232, SAN FRANCISCO, CA 94114(415) 565-6810 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Jun 2, 2025, Apr 5, 2022 (3 updates tracked since 2022).

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About Jacqueline Selim Antoun Md NPPES

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

JACQUELINE SELIM ANTOUN MD (NPI 1700527629) is an individual pediatrics provider in San Francisco, California, licensed in California (A187753) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Vanderbilt University School Of Medicine (2022).

NPPES Registry Identity

NPI1700527629

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACQUELINE SELIM ANTOUNCredential: MD

Location Address45 CASTRO ST STE 232San Francisco, CA 94114-1027

Mailing Address4650 W Sunset BlvdLos Angeles, CA 90027-6062

Phone(415) 565-6810

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1700527629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A187753

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

45 CASTRO ST STE 232, San Francisco, CA 94114

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Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 361-2122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Selim Antoun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193226629

PECOS Enrollment IDI20250827003513

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94114 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

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

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 Jacqueline Antoun's NPI number?

The NPI number for Jacqueline Antoun is 1700527629. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Jacqueline Antoun located?

Jacqueline Antoun practices at 45 Castro St Ste 232, San Francisco, CA 94114. The listed phone number is (415) 565-6810.

What is Jacqueline Antoun's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacqueline Antoun enrolled in Medicare?

Yes. Jacqueline Antoun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Antoun was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.