Diana Sofia Sabogal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113406 Issued in FL

Practice address

2845 Aventura Blvd Ste 245
Aventura, FL 33180-3120

Phone

(305) 692-1080

NPI assigned

Apr 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physician Practices of MSMC, LLC

  • Neurological Surgery Physician
  • Miami Beach, FL
  • NPI 1356630628
  Medicare reassignment
• JWH Miami Lakes II, LLC

  • General Practice Physician
  • Miami Lakes, FL
  • NPI 1750632972
  NPD

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1164085510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 NW 13TH ST STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862342",
            "telephone_number": "844-665-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD STE 245",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803120",
            "telephone_number": "305-692-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOGAL",
        "first_name": "DIANA",
        "middle_name": "SOFIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2022-11-16",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Rydz, LCSW
• Courtney Rymer, MSPA
• Juliana Sa Figueiredo, RD
• Sa-PG-North Miami LLC
• Isa Sabir, MD
• Kody Dylan Sacks-Moynihan
• Hafsa Saeed, DO
• Sharit Saffati
• Deborah L Safko
• Laurie Jean Safranek, ARNP

• Physician Assistant in Aventura, FL
• Providers in Aventura, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.