Active NPI
Henrietta Chinasa Anibuko, RN
- Registered Nurse
- San Francisco, CA
National Provider Identifier
1871199539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95214118
- Practice address
- 1001 Potrero Ave # Ward93
San Francisco, CA 94110-3518 - Phone
- (628) 206-8412
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 95214118 | CA | |
| Registered Nurse | 163W00000X | 95214118 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Ave # Ward93
San Francisco, CA 94110-3518
Mailing address
995 Potrero Ave # Ward93
San Francisco, CA 94110-2859
Phone (628) 206-3364
Other practice location 1
1563 Mission St Fl 4
San Francisco, CA 94103-2592
Phone (800) 200-7181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59771 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | henrietta.anibuko@sfdph.org | Health Information Exchange (HIE) | |
| CONNECT URL | canibuko@healthright360.org | Health Information Exchange (HIE) |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95214118 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1871199539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 POTRERO AVE # WARD93",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102859",
"telephone_number": "628-206-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE # WARD93",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "628-206-8412"
}
],
"practiceLocations": [
{
"address_1": "1563 Mission St Fl 4",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941032592",
"country_code": "US",
"telephone_number": "800-200-7181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANIBUKO",
"first_name": "HENRIETTA",
"middle_name": "CHINASA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "95214118",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95214118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59771",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "henrietta.anibuko@sfdph.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1001 Potrero Ave",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941103518",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "canibuko@healthright360.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1563 Mission St Fl 4",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941032592",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.