P Praxis·MD
● Active Type 1 · Individual

DR. Salvatore Di Raffaele, PA-C, D.C.

Physician Assistant·Coeur D Alene, ID· NPI 1154472256 · Enumerated 2007 · 19 years on NPI
Di Raffaele is 1 of 72 physician assistant providers in Coeur D Alene and 1 of 1263 in Idaho.
NPI age
19 years
Enumerated 2007-01-15
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1090 W Park Pl
Coeur D Alene, ID 838142785
📞 2084150299
Mailing address
Po Box 1387
Hayden, ID 838351387
📞 2084150299

Additional practice locations

1 secondary location on file with NPPES.

Location 2
611 Colorado Ave
Santa Monica, CA 904012507
📞 3102453814

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #2005CA license #14822 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    ID license #2005 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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