Saba Bagewadi, M.D.
Individual provider Active NPI Pediatrics Physician · Larkspur, CA
NPI 1588059059 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1588059059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A169110 (CA)
- Practice address
- 1100 Larkspur Landing Cir Ste 10
Larkspur, CA 94939-1836 - Phone
- (415) 464-1350
- NPI assigned
- Apr 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220907003772 | CA | Practitioner - Pediatric Medicine |
0840523155 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | IL | MD | Pediatric Dentist |
| A169110 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current |
Accepting new patients | |
| Providence Medical Foundation | Current |
Accepting new patients | |
| Regents Univ of California UCSF | Pediatrics | Current |
Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1100 Larkspur Landing Cir
Ste 10
Larkspur, CA 94939
Phone (415) 464-1350
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A169110 | CA | |
| Pediatrics Physician | 208000000X | 00000000 | IL | |
| Pediatrics Physician | 208000000X | A169110 | CA | Yes |
Addresses
Primary practice location
1100 Larkspur Landing Cir Ste 10
Larkspur, CA 94939-1836
Mailing address
15 Hospital Dr
York, ME 03909-1011
Phone (207) 351-2478
Other practice location 1
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 525-5300
Other names
- Ayla Bagewadi
Other providers in Larkspur, CA
- Thomas William Atkin
- Reid Augustino
- Anshul Badhwar
- Hilary Dubins Baer
- Margaret L. Baer
- Georgia Anne Baldwin
- Rajdip Barman
- Adam J. Baumgarten
- Bay Area Community Resources, Inc.
- Begin Balanced, PC
All providers in Larkspur, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.