Healthcare Provider Details

I. General information

NPI: 1134086226
Provider Name (Legal Business Name): BIRTH BELLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 ROSEMARIE CT
APTOS CA
95003-3171
US

IV. Provider business mailing address

176 ROSEMARIE CT
APTOS CA
95003-3171
US

V. Phone/Fax

Practice location:
  • Phone: 831-431-7551
  • Fax:
Mailing address:
  • Phone: 831-431-7551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: TYKA JAGAT
Title or Position: OWNER
Credential:
Phone: 831-431-7551