Healthcare Provider Details

I. General information

NPI: 1023708831
Provider Name (Legal Business Name): SADI HASSAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SADIYO HASSAN NP

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

797 W CHILDS AVE
MERCED CA
95341-6805
US

IV. Provider business mailing address

797 W CHILDS AVE
MERCED CA
95341-6805
US

V. Phone/Fax

Practice location:
  • Phone: 209-384-6486
  • Fax:
Mailing address:
  • Phone: 209-626-6018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95472680
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number236662
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95041415
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: