Diners' Choice: Italian restaurants in San Francisco Bay Area

OpenTable

Updated June 05, 2025

Looking for restaurants with the best overall Italian cuisine in San Francisco Bay Area? You’re in the right place. Each month OpenTable analyzes more than 400,000 new diner reviews. We sort the results by category to help you discover new favorites. It's a great partnership: you reserve, eat, and review. We listen...and deliver the results for all to benefit. Enjoy!

Pasta Primavera Walnut Creek

4.6

4.6 (345)

$30 and under

Italian

Walnut Creek

About the restaurant

Pasta Primavera Walnut Creek offers excellent food and courteous service in a casual, contemporary setting ambiance, and also offers a fine dining bar which serves great draft beers, spirit selections, beautiful and delightful wines, all while broadcasting the latest televised sporting events.
We have been in this business since 1988 and since then we have been consistently utilizing the freshest ingredients to prepare our zesty dishes. Our attitude of "going with the flow" has kept us in business for almost three decades.
Today, Pasta Primavera Walnut Creek is an independent restaurant and has no affiliation with any other Pasta Primaveras.
Pasta Primavera Walnut Creek is currently owned by Amir Tehrani (the founder of the original Pasta Primavera) and managed by Allen Pourkhomami.

Top review

JacquelineVIP

Dined on Jun 14, 2025

The food and service are always excellent. This is a favorite spot.

Angelino Restaurant

4.9

4.9 (1058)

$31 to $50

Italian

Sausalito

About the restaurant

We are open for indoor and outdoor seating and curbside pickup Tuesday - Sunday 5:00 - 9:00 pm. To view our full menu and daily specials, visit our website at www.angelinorestaurant.com. Please call us at (415) 331-5225 to place an order or order online for curbside pickup.

Angelino Restaurant strives to give each customer a peek into Italy's spirit: delicious food, world-class wine, and unforgettable memories with family and friends. Experience the rich culture of Italy through the superb cuisine, friendly atmosphere, and warm hospitality of the Ancona family and the staff of Angelino Restaurant.

Executive Chef Alfredo Ancona excels at blending traditional Italian flavors with high-quality local ingredients. Chef Alfredo crafts our menu to highlight the freshest ingredients each season has to offer. Freshly baked bread, house-made pasta, and locally caught seafood are among the highlights of what new and old customers love to enjoy with us.

Top review

AnselVIP

Dined today

Angelino is my favorite Bay Area Italian restaurant. Family owned and operated, and the chef/owner is always available for a chat. The food is outstanding with service and value right up there as well. We visited for 4th of July dinner, and it was the perfect spot to watch the fireworks. Check out the black lounge seat outside the door…perfect for warming your behind on a chilly summer night!!!😍

Baci Cafe & Wine Bar - Healdsburg

4.9

4.9 (3834)

$31 to $50

Italian

Healdsburg

About the restaurant

Baci Cafe & Wine Bar invites you to enjoy its fine regional Italian and Mediterranean food, paired with wines from Sonoma, Napa and Italy, in a casual dining atmosphere.
Baci's wine list is thoughtful and well-priced, and features many small artisan wineries. Baci's menu is creative and offers a large selection of dishes. It's focus and commitment to local fresh seasonal ingredients has made it one of our Sonoma County favorites.

Top review

MichaelVIP

Dined 6 days ago

Wow! What a terrific experience! Lisbeth was just amazing taking care of us while celebrating our parent's 63rd anniversary and a family birthday. The food was AMAZING and Frank our waiter was OUTSTANDING. Everything was so appreciated and it was such a great night!

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Popular dish

Spaghetti alla Bolognese

Popular dish

Gnocchi alla Bolognese

Popular dish

Carpaccio

Valenti & Co. Ristorante

4.9

4.9 (899)

$31 to $50

Italian

San Anselmo

About the restaurant

Welcome to Valenti & Co, Northern Italian Restaurant and Wine Bar in San Anselmo. Farm-fresh Italian Cuisine, thoughtfully sourced local ingredients and wines.

Top review

SuzannaVIP

Dined on Jun 19, 2025

It's always wonderful! Lovely food, gracious staff, comfortable.

Caffe Macaroni

4.9

4.9 (736)

$30 and under

Italian

North Beach

About the restaurant

Chef & co-owner, Mario and his delightful wife, Stephanie, have a knack for making you feel as if they are cooking and serving just for you at this super-reasonable North Beach nook offering robust Southern Italian fare reminiscent of his native Naples; whether you’ve snagged an outdoor table or are in the small, casual interior, it delivers a pasta fix. The menu changes daily to ensure freshness.

Top review

Rebecca

Dined 1 day ago

Great spot, loved everything about it. Food was delicious.

Vaso Azzurro

4.9

4.9 (670)

$31 to $50

Italian

Mountain View

About the restaurant

We are known for our authentic and fresh Northern Italian fare made daily with only the finest ingredients. With a variety of satisfying and unique dishes, we have something for every type of taste preferences. Our "feel at home" staff and intimate atmosphere filled with upscale Mediterranean decor makes us a great place to take a date or the whole family.

Top review

DennisVIP

Dined 5 days ago

Food quality was excellent. Eggplant appetizer and Linguini with seafood were outstanding. Whole wheat linguini option was appreciated.

La Lanterna Ristorante

4.8

4.8 (1025)

$30 and under

Italian

San Mateo

About the restaurant

Open since 2001, La Lanterna is a family-owned business with Ramon Lopez as Executive Chef and Jennifer Villa-McGuffin service as manager. Prior to opening, Ramon and Jennifer were employed at various fine dining restaurants in the San Francisco Peninsula. With his own signature style, Chef Ramon has received numerous accolades and is honored to serve you at La Lanterna.

Top review

MichaelVIP

Dined on Jun 14, 2025

i say it all the just ..just a great place to dine

Cafe Figaro

4.9

4.9 (548)

$31 to $50

Italian

Burlingame

About the restaurant

Café Figaro is Burlingame’s go-to destination for authentic Italian cuisine and the best wine list in the Bay Area. Our cozy dining room blends tradition and modern elegance, featuring contemporary artwork, crisp linens, and classic tile ceilings with pendant lighting.

Enjoy favorites like Pollo Parmesan, Spaghetti Alla Bolognese, Spicy Rigatoni Alla Vodka, and Risotto al Frutti di Mare, all crafted with fresh, high-quality ingredients.

Our award-winning wine list, recognized by Wine Spectator’s Award of Excellence 2023 and Star Wine List 2023, offers an exceptional selection to complement every dish. From bold reds to crisp whites, we have a wine for every taste.

Perfect for intimate dinners, banquets, and private events, Café Figaro delivers unforgettable dining experiences. Discover authentic flavors, impeccable service, and the finest wines at Café Figaro. Reserve your table today!

Top review

CarolVIP

Dined 7 days ago

We have a neighbor dinner monthly. This was our first time here and we really enjoyed the experience. We were will be back

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Popular dish

Rigatoni alla Vodka

Popular dish

Spaghetti alla Bolognese

Popular dish

Fettuccine all'Adriatica

Cook St. Helena

4.8

4.8 (1531)

$30 and under

Italian

St. Helena

About the restaurant

Specializing in elegant but straight-forward Northern Italian cuisine, created from local and seasonal ingredients.

A family-owned business, Cook St. Helena, is a neighborhood establishment through and through that continues to bring people together around fresh, handmade, delicious food in a warm, casual atmosphere. We opened Cook in 2004 to show the locals and tourists alike that food does not need to be complicated to taste great!

Top review

KathyVIP

Dined 2 days ago

When we lived in St Helena, Cook was our go-to for both lunch and dinner. Best local ingredients perfectly prepared and served by their friendly and professional staff. It’s been 8 years since we moved away, but on a recent visit, Cook is still a wonderful as we remembered.

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Popular dish

risotto

A photo of flourless chocolate cake caramel whipped cream grey salt of a restaurant

Frascati

4.9

4.9 (2616)

$31 to $50

Italian

Russian Hill

About the restaurant

Frascati is a Mediterranean style bistro, located in one of San Francisco’s most desirable neighborhoods – Russian Hill. When a guest walks through the door of Frascati, he or she is initially treated to a friendly and comfortable dining room. Frascati encompasses a truly European aura, but is also a cozy, San Francisco neighborhood bistro. This tri-level restaurant features warm colors, high ceilings, antique light fixtures and street views of cable cars clanging up and down Hyde Street. The natural light and energetic atmosphere all convey a lively spirit.

Our cuisine is inspired from the Mediterranean coast and has strong Californian influences. The menu shifts frequently to utilize the best and freshest ingredients any season has to offer. Also, we pride ourselves on all of our house made desserts and ice creams.

Of equal importance, Frascati has become known for having an eclectic wine list which nicely complements the food.

Top review

OpenTable Diner

Dined on Jun 27, 2025

Very nice experience and great food. Service is very friendly, great little spot

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Popular dish

Cinnamon Apple Cobbler

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