SANTIBANEZ PAC IDAHO NPI 1346015948

NPI Information

  • NPI: 1346015948
  • Provider Name: SANTIBANEZ PAC IDAHO
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 840 E ELVA ST
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 523-4795

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NPI Details

SANTIBANEZ PAC IDAHO is a geriatric medicine internal medicine in Idaho Falls, ID. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SANTIBANEZ PAC IDAHO NPI is 1346015948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

840 E ELVA ST
IDAHO FALLS, ID
ZIP 83401-801
Phone: (208) 523-4795

The provider's authorized official is Julie Roser .
The authorized official title is Vp Of Operations and has the following contact phone number (775) 222-0045.

The enumeration date for this NPI number is 11/24/2023 and was last updated on 1/14/2025.

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
1207RG0300XInternal MedicineGeriatric MedicineYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

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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