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

Jonathan Subaitani, PA-C

Individual provider Physician Assistant · NPI 1821529918

Jonathan Subaitani, PA-C is a Physician Assistant in Eagle, Idaho. Qualified in 2016, 10 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho and Virginia.

Years since qualifying
10
Licensed in
ID, VA
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

219 S Wooddale Ave
Eagle, ID 83616-7714
Phone: (703) 928-7266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6051 W Emerald St, Boise, ID 83704-8969 — (208) 302-5150
  • 11197 W Fairview Ave, Boise, ID 83713 — (208) 378-8011
  • 512 E Elm St, Caldwell, ID 83605-4871 — (208) 370-7004

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1596 (ID)
Physician Assistant Taxonomy 363A00000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 0110005599 (VA)

Record details

NPI number1821529918
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 21, 2017
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address219 S Wooddale Ave, Eagle, ID 83616-7714

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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