SARGON BEBLA MD INC NPI 1578716304

NPI Information

  • NPI: 1578716304
  • Provider Name: SARGON BEBLA MD INC
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Organization
  • Former Legal Business Name: SARGON BEBLA MD INC
  • Address: 1524 MCHENRY AVE STE 370
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 409-8513

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NPI Details

SARGON BEBLA MD INC is an urogynecology and reconstructive pelvic surgery in Modesto, CA. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. SARGON BEBLA MD INC NPI is 1578716304. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sargon Bebla Md Inc.

The provider's business location address is:

1524 MCHENRY AVE STE 370
MODESTO, CA
ZIP 95350
Phone: (209) 409-8513
Fax: (209) 422-3074

The provider's authorized official is Pamela A Parbus .
The authorized official title is Office Administrator and has the following contact phone number (315) 387-2176.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 5/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryA79656CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103060900MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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