Sargon Bebla MD Inc

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 Ste 370
Modesto, CA 95350

Phone

(209) 409-8513

Fax

(209) 422-3074

NPI assigned

Oct 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela A Parbus, LPN

Title

Office Administrator

Phone

(315) 387-2176

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sargon Bebla MD INC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1578716304",
    "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": "209-409-8513",
            "fax_number": "209-422-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 370",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-409-8513",
            "fax_number": "209-422-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 Irving Ave",
            "address_2": "Suite 640",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101651",
            "country_code": "US",
            "telephone_number": "315-387-2176",
            "fax_number": "315-387-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARGON BEBLA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "PARBUS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "315-387-2176",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A79656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03060900",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sargon Bebla MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sargon Bebla MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Denise Sarabia
• Phyllis Sarasqueta, RN, PHN
• Brianna Sarcos
• Bianca Sargizian
• Sargon Bebla MD Inc
• Danielle Sarkis, B.A
• Orianna Sarkissian, DDS
• Simoon Saroeun
• Anirudh Saronwala
• Jasmeet Singh Saroya

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.