Organization Active NPI

Sargon Bebla MD Inc

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Modesto, CA
National Provider Identifier
1144698481
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
A79656 Issued in CA
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

Updated by the provider on Mar 7, 2018

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)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.