Healthcare Provider Details

I. General information

NPI: 1245112119
Provider Name (Legal Business Name): AQUARIUS MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GREGORY LN STE B-106
PLEASANT HILL CA
94523-3353
US

IV. Provider business mailing address

200 GREGORY LN STE B-106
PLEASANT HILL CA
94523-3353
US

V. Phone/Fax

Practice location:
  • Phone: 925-403-1475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: ANGELA STEELE
Title or Position: OWNER/MIDWIFE
Credential: LM, CPM
Phone: 925-403-1475