Active NPI
Bethany Certa Sasaki, NP, CNM, IBCLC
- Women's Health Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1609133602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP95005739
- Practice address
- 1809 19TH St
Sacramento, CA 95811-6745 - Phone
- (916) 936-2229
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 650391 | CA | |
| Advanced Practice Midwife | 367A00000X | 235738 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | NP95005739 | CA | Primary |
Addresses
Primary practice location
1809 19TH St
Sacramento, CA 95811-6745
Mailing address
2025 P St
Sacramento, CA 95811-5213
Phone (916) 936-2229
Other practice location 1
2025 P St
Sacramento, CA 95811-5213
Phone (916) 936-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 650391 | CA | MD | Lactation Consultant (Registered Nurse) |
| NP95005739 | CA | MD | Women's Health Nurse Practitioner |
| 235738 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Nurse Midwives a Nursing Corporation | Lactation Consultant | Current | Accepting new patients |
| Midtown Nurse Midwives a Nursing Corporation | Current | Accepting new patients |
Locations
2025 P St
Sacramento, CA 95811
Phone (916) 446-4449
4250 H St
Ste 2
Sacramento, CA 95819
Phone (916) 452-5055
1809 19th St
Sacramento, CA 95811
Phone (916) 256-3000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Sacramento, CA
- NPI 1265848493
Lactation Consultant
-
- Birthing Clinic/Center
- Sacramento, CA
- NPI 1851860001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1609133602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 P ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115213",
"telephone_number": "916-936-2229",
"fax_number": "916-307-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 19TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958116745",
"telephone_number": "916-936-2229"
}
],
"practiceLocations": [
{
"address_1": "2025 P St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958115213",
"country_code": "US",
"telephone_number": "916-936-2229",
"fax_number": "916-307-4626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SASAKI",
"first_name": "BETHANY",
"middle_name": "CERTA",
"credential": "NP, CNM, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "650391",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "235738",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "NP95005739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.