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

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: October 25, 2026.

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

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 and maintains a secondary practice location in Los Angeles.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Jacqueline Antoun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ucsf Health Medical Foundation
9.2 mi
Pediatrics
6425 CHRISTIE AVE STE 220
Emeryville, CA 94608
  • Reassigned Medicare billing, California enrollment
  • 79 clinicians in this Medicare group
NPI 1043628316 (415) 476-7220

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 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.

Which organization bills Medicare for Jacqueline Antoun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Antoun reassigns Medicare benefits to Ucsf Health Medical Foundation (Emeryville, CA). The 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 Jacqueline Antoun'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 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 12 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.