Active NPI
Sage Fanucchi-Funes, CNM
- Advanced Practice Midwife
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM236401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNM236401 | CA | MD | Advanced Practice Midwife |
| 202010801RN | OR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Redwoods Rural Health Center, Inc. | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Redwood Women'S Center, a Medical Corporation | Current | Accepting new patients | |
| Redwoods Rural Health Center Inc. | Current | 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
- sfanucchifunes1255267@oc.providencedirect.org
- 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.
-
- Medical Specialty Clinic/Center
- Fortuna, CA
- NPI 1871768200
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Pediatrics Physician
- Emeryville, CA
- NPI 1043628316
-
- Obstetrics & Gynecology Physician
- Napa, CA
- NPI 1205131950
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Community Health Clinic/Center
- Redway, CA
- NPI 1235206087
-
- Federally Qualified Health Center (FQHC)
- Fortuna, CA
- NPI 1366013211
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.