Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Salvatore Di Raffaele, PA-C, DC

Individual provider Physician Assistant · NPI 1154472256

Dr. Salvatore Di Raffaele, PA-C, DC is a Physician Assistant in Coeur D Alene, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in California and Idaho.

Licensed in
CA, ID
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

1090 W Park Pl
Coeur D Alene, ID 83814-2785
Phone: (208) 415-0299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 611 Colorado Ave, Santa Monica, CA 90401-2507 — (310) 245-3814

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2005 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 14822 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2005 (ID)

Record details

NPI number1154472256
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , DC
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

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