Individual provider Active NPI

Sarah Ralbag, PA-C

  • Physician Assistant
  • Hallandale Beach, FL
National Provider Identifier
1730842006
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838
Phone
(786) 733-1066
NPI assigned
Oct 14, 2021
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838

Mailing address

2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20220427001880 NY Practitioner - Physician Assistant 1658768338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026476NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Garnet Creek Incorporated CurrentSince Jun 25, 2026 Accepting new patients

Locations

120 S Atlantic St
Dillon, MT 59725
Phone (406) 683-4400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1730842006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 505",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 505",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094838",
            "telephone_number": "786-733-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALBAG",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.