Individual provider Active NPI

Anabelle Mendez Bacani

  • Gastroenterology Registered Nurse
  • South San Francisco, CA
National Provider Identifier
1154237154
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology Registered NurseTaxonomy code 163WG0100X
License
041264111 Issued in IL
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

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.