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

Raul Campos III

Individual provider Physician Assistant · NPI 1295434355

Raul Campos III is a Physician Assistant in Caldwell, Idaho. Qualified in 2025, 1 year ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

712 Aviation Way
Caldwell, ID 83605-1154
Phone: (208) 302-7500
Fax: (208) 302-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1315 E Crandall Ave Unit 406, Salt Lake City, UT 84106-4474 — (708) 646-1962

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3071780 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295434355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Caldwell