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

MS. Annalissa Dalan Pena, FNP-C

Individual provider Nurse Practitioner · NPI 1518843978

MS. Annalissa Dalan Pena, FNP-C is a Nurse Practitioner in Fairfield, California. Qualified in 2025, 1 year ago. Practices with Bass Medical Group, a 292-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

768 Antiquity Dr
Fairfield, CA 94534-6613
Phone: (707) 290-0353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95035382 (CA)

Record details

NPI number1518843978
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bass Medical Group — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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