Healthcare Provider Details

I. General information

NPI: 1629526835
Provider Name (Legal Business Name): CASA NATAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2016
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 UNION AVE
LOS GATOS CA
95032-3903
US

IV. Provider business mailing address

246 UNION AVE
LOS GATOS CA
95032-3903
US

V. Phone/Fax

Practice location:
  • Phone: 408-377-2830
  • Fax: 408-703-2017
Mailing address:
  • Phone: 408-377-2830
  • Fax: 408-703-2017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number304
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA DEAN
Title or Position: LICENSED MIDWIFE, OWNER
Credential: LM, CPM
Phone: 408-377-2830