Active NPI
Anabelle Mendez Bacani
- Gastroenterology Registered Nurse
- South San Francisco, CA
National Provider Identifier
1154237154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Registered Nurse
- License
- 041264111
- Practice address
- 25 Buena Vista Rd
South San Francisco, CA 94080-5576 - Phone
- (847) 414-3904
- NPI assigned
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Registered Nurse | 163WG0100X | 041264111 | IL | Primary |
Addresses
Primary practice location
25 Buena Vista Rd
South San Francisco, CA 94080-5576
Mailing address
25 Buena Vista Rd
South San Francisco, CA 94080-5576
Phone (847) 414-3904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1154237154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BUENA VISTA RD",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805576",
"telephone_number": "847-414-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BUENA VISTA RD",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805576",
"telephone_number": "847-414-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACANI",
"first_name": "ANABELLE",
"middle_name": "MENDEZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Gastroenterology",
"state": "IL",
"license": "041264111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.