Annalissa Lorena Dalan Pena, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95035382 Issued in CA

Practice address

4626 Willow Rd
Pleasanton, CA 94588-8517

Phone

(925) 463-0470

Fax

(844) 830-3541

NPI assigned

Aug 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Annalissa Pena Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment Care Compare group NPD (past)
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Bay Area Surgical Specialists, Inc a Medical Corporation

  • Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1356702526
  NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• Bass Medical Group

  • Pain Medicine Physician
  • Visalia, CA
  • NPI 1326409343
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1518843978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 ANTIQUITY DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346613",
            "telephone_number": "707-290-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WILLOW RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888517",
            "telephone_number": "925-463-0470",
            "fax_number": "844-830-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Norris Canyon Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945835407",
            "country_code": "US",
            "telephone_number": "925-463-0470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2180 W Grant Line Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953777343",
            "country_code": "US",
            "telephone_number": "925-463-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "ANNALISSA LORENA",
        "middle_name": "DALAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95035382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNALISSA",
            "last_name": "PENA",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pedram Taher M.D.
• Jacque Marie Pedraza
• Sam Pejham, M.D.
• Socheatta Pel
• Kathleen Marie Pelz, CO
• Dolor Mia Pena, RN
• Zaira Penaloza, OTR/L
• Cynthia Sue Penn-Duecker, MD
• Barry J. Penner, D.D.S.
• Jennifer L Penney, PSYD

• Nurse Practitioner in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.