Altovino: A Hidden Italian Gem in the Heart of Nob Hill, San Francisco

May 02, 2025

If you find yourself wandering the charming, hilly streets of Nob Hill in San Francisco, there’s a high chance you’ll be captivated by the classic architecture and sweeping views. But tucked quietly among it all is Altovino—a cozy Italian restaurant that feels like stepping into a warm trattoria in Florence.
A True Neighborhood Restaurant

Altovino doesn’t scream for attention—and that’s part of its charm. This is the kind of place locals whisper about and return to again and again. Chef Nick Kelly and his wife, Calli, have created something special here: a restaurant rooted in seasonal California ingredients, but with the soul of Italy at its core.

Muscles, Nduja, Pickled red onions

The moment you walk in, you’re greeted with soft lighting, rustic wood accents, and a wine list that reads like a love letter to small Italian producers. Whether you’re on a romantic night out or meeting a friend for a casual but memorable meal, Altovino makes everyone feel like family.

What to Order

The menu changes frequently (and beautifully) with the seasons, but here are a few dishes you’ll likely remember long after your visit:

  •  Spuma di fungi: Mushroom and truffle mousse paired with grilled Acme bread
  • Handmade Pastas – Altovino’s pasta is where magic happens. Expect rich, savory sauces paired with expertly made noodles—My all time favorite is the 10 hour bolognese pasta!
La Fiorentina, porterhouse steak, braised beans, bone marrow, gremolata, 15-year balsamico tradizionale
  • La Fiorentina: 1-kilo (35oz) Schmitz Ranch dry aged porterhouse steak, braised gigante beans, bone marrow, gremolata, 15-year balsamico tradizionale

And of course, the wine list deserves its own applause. Focused, thoughtful, and predominantly Italian, it’s curated to elevate the food and the experience—whether you’re a wine nerd or just happy with a great glass of something red.

Why Altovino Deserves a Spot on Your San Francisco Food Map

In a city packed with world-class dining options, Altovino stands out not by being flashy, but by being sincere. It’s the kind of place that respects tradition without being stuck in it, blending the freshness of California with the warmth and depth of Italian cuisine.

If you’re traveling through San Francisco and want to eat where the locals do—somewhere that feels both elevated and down-to-earth—Altovino should be on your list.

Altovino, San Francisco

1358 Mason St, San Francisco, CA 94133

Baised Beans, Bone marrow, Gremolata

Reservations is highly recommended via Resy. You can also check their sister restaurant in the Mission, Osteria Barnerio. To see the full list of the best restaurants you should try in San Francisco, click here.

 

 

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