Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Selim Antoun, MD

Individual provider Pediatrics Physician · NPI 1700527629

Jacqueline Selim Antoun, MD is a Pediatric Medicine in San Francisco, California. Graduated from Vanderbilt University School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
4
Trained at
Vanderbilt University School of Medicine
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 Castro St Ste 232
San Francisco, CA 94114-1027
Phone: (415) 565-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 — (323) 361-2122

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A187753 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700527629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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