Healthcare Provider Details

I. General information

NPI: 1265848493
Provider Name (Legal Business Name): MIDTOWN NURSE MIDWIVES A NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 19TH ST
SACRAMENTO CA
95811-6745
US

IV. Provider business mailing address

2025 P ST
SACRAMENTO CA
95811-5213
US

V. Phone/Fax

Practice location:
  • Phone: 916-936-2229
  • Fax: 916-307-4626
Mailing address:
  • Phone: 916-936-2229
  • Fax: 916-307-4626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number605391
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number235738
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BETHANY CERTA SASAKI
Title or Position: OWNER & PRESIDENT
Credential: NP, CNM, IBCLC
Phone: 650-270-9387