Active NPI
Sargon Bebla MD Inc
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Modesto, CA
National Provider Identifier
1144698481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- A79656
- Legal business name
- SARGON BEBLA MD INC
- Practice address
- 1524 McHenry Ave
Suite 370
Modesto, CA 95350-4500 - Phone
- (315) 299-8150
- Fax
- (315) 299-8155
- NPI assigned
- Sep 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela A Parbus
- Title
- Manager
- Phone
- (315) 387-2176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | A79656 | CA | Primary |
Addresses
Primary practice location
1524 McHenry Ave
Suite 370
Modesto, CA 95350-4500
Mailing address
1524 McHenry Ave Ste 370
Modesto, CA 95350-4568
Phone (315) 387-2176
National Provider Directory
National Provider DirectoryLocations
739 Irving Ave
Ste 640
Syracuse, NY 13210
Phone (315) 303-5659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520380800000",
"number": "1144698481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 370",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504568",
"telephone_number": "315-387-2176",
"fax_number": "315-387-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE",
"address_2": "SUITE 370",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504500",
"telephone_number": "315-299-8150",
"fax_number": "315-299-8155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARGON BEBLA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2018-03-07",
"status": "A",
"authorized_official_last_name": "PARBUS",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "315-387-2176",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "CA",
"license": "A79656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.