Individual provider Active NPI

Sage Fanucchi-Funes, CNM

  • Advanced Practice Midwife
  • Berkeley, CA
National Provider Identifier
1841964293
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM236401 Issued in CA
Practice address
2999 Regent St Ste 524
Berkeley, CA 94705-2120
Phone
(510) 495-0310
Fax
(510) 244-0446
NPI assigned
Aug 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM236401 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X 202010801RN OR

Addresses

Primary practice location

2999 Regent St Ste 524
Berkeley, CA 94705-2120

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (707) 599-1533

Other practice location 1

3200 Walford Ave Ste A
Eureka, CA 95503-4828
Phone (707) 445-3443

Other practice location 2

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (707) 599-1533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114003292 CA Practitioner - Certified Nurse Midwife (CNM) 7113374083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Redwood Women'S CenterGroup PAC ID 0547306433, 3 clinicians

Practice addresses (Care Compare)

3200 Walford Ave
Suite a
Eureka, CA 95503-4828
Phone (707) 443-4869

3309 Renner Dr
Fortuna, CA 95540-3119
Phone (707) 725-6108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM236401CAMDAdvanced Practice Midwife
202010801RNORMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Nov 1, 2023 Accepting new patients
Redwoods Rural Health Center, Inc. CurrentSince Oct 22, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Nov 1, 2023 Accepting new patients
Redwood Women'S Center, a Medical Corporation CurrentSince Mar 26, 2024 Accepting new patients
Redwoods Rural Health Center Inc. CurrentSince Oct 22, 2025 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

3200 Walford Ave
Eureka, CA 95503
Phone (707) 445-3443

3200 Walford Ave
#A
Eureka, CA 95503
Phone (707) 443-3354

930 S Fortuna Blvd
Fortuna, CA 95540
Phone (707) 353-2162

3309 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6108

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Interoperability endpoints

  • Direct secure messaging: sfanucchifunes1255267@oc.providencedirect.org
  • Direct secure messaging: sfanucchifunes839419@direct.ochin.org

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1841964293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "707-599-1533",
            "fax_number": "503-494-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 524",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052120",
            "telephone_number": "510-495-0310",
            "fax_number": "510-244-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Walford Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955034828",
            "country_code": "US",
            "telephone_number": "707-445-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "707-599-1533",
            "fax_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANUCCHI-FUNES",
        "first_name": "SAGE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "CNM236401",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "202010801RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.