Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SALLY ESCARDA NACIANCENO M.D.
NPI 1720180094
Internal Medicine - Gastroenterology in San Jose, CA

Q: What is Sally Nacianceno's NPI number?

The NPI number for Sally Nacianceno is 1720180094. It was assigned to this individual provider in the NPPES registry on September 5, 2006. The provider is also known as Dr. Salome Escarda Nacianceno M.D..

Q: What is Sally Nacianceno's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sally Nacianceno was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2006PECOS Enrolled

175 N JACKSON AVE, #110, SAN JOSE, CA 95116(408) 251-3364(408) 251-8260 Get Directions Write a Review

NPPES record last updated: October 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Sally Escarda Nacianceno M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALLY ESCARDA NACIANCENO M.D. (NPI 1720180094) is an individual gastroenterology provider in San Jose, California, licensed in California (A029762) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720180094

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SALLY ESCARDA NACIANCENOCredential: M.D.

Location Address175 N JACKSON AVE, #110San Jose, CA 95116-1909

Mailing Address175 N Jackson Ave, Suite #110San Jose, CA 95116-1909 · (408) 251-3364 · Fax (408) 251-8260

Phone(408) 251-3364

Fax(408) 251-8260

Sole ProprietorNo

Enumeration DateSeptember 5, 2006

Last NPPES UpdateOctober 4, 2026

✔ NPI 1720180094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A029762

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

175 N JACKSON AVE, San Jose, CA 95116

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Other Names 1

Former Name (1)Dr. Salome Escarda Nacianceno M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sally Escarda Nacianceno M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sally Nacianceno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physicians Medical Group Of San Jose, Inc.

4.0 mi

Internal Medicine

1910 N CAPITOL AVE
San Jose, CA 95132

Reassigned Medicare billing, California enrollment
9 clinicians in this Medicare group

NPI 1891175444 (888) 265-2120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSE D PALMA M.D.

Internal Medicine

175 N JACKSON AVE, SUITE # 110
SAN JOSE, CA 95116

Santa Clara County (408) 251-3364

FRANK FOOK Y. WONG, MD, INC.

Specialist

175 N JACKSON AVE, # 104
SAN JOSE, CA 95116

Santa Clara County (408) 258-6566

HOSSEIN HABIBI MD

Urology

175 N JACKSON AVE, STE 206
SAN JOSE, CA 95116

Santa Clara County (408) 259-7282

MR. DUSHYANT N PATEL MD

Internal Medicine (Geriatric Medicine)

175 N JACKSON AVE, STE 210
SAN JOSE, CA 95116

Santa Clara County (408) 923-1711

RAGHUNAND SASTRY MD

Ophthalmology

175 N JACKSON AVE, #205
SAN JOSE, CA 95116

Santa Clara County (408) 272-2100

THEODORE CHOW MD INC

Internal Medicine (Clinical Cardiac Electrophysiology)

175 N JACKSON AVE, SUITE # 111
SAN JOSE, CA 95116

Santa Clara County (408) 240-5960

SUZANNE RENE WANG DNP, FNP-BC, MPH

Nurse Practitioner (Family)

175 N JACKSON AVE
SAN JOSE, CA 95116

Santa Clara County (707) 208-1985

KOOROSH CYRUS SHARIAT MD FCCP

Internal Medicine

175 N JACKSON AVE, SUITE 105
SAN JOSE, CA 95116

Santa Clara County (408) 926-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Nacianceno's NPI number?

The NPI number for Sally Nacianceno is 1720180094. It was assigned to this individual provider in the NPPES registry on September 5, 2006. The provider is also known as Dr. Salome Escarda Nacianceno M.D..

Where is Sally Nacianceno located?

Sally Nacianceno practices at 175 N Jackson Ave #110, San Jose, CA 95116. The listed phone number is (408) 251-3364.

What is Sally Nacianceno's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sally Nacianceno enrolled in Medicare?

Yes. Sally Nacianceno is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sally Nacianceno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Nacianceno reassigns Medicare benefits to Physicians Medical Group Of San Jose, Inc. (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sally Nacianceno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sally Nacianceno was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.