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

Individual provider Medical Physician Assistant · NPI 1336499730

Raul Godina, PA-C is a Physician Assistant in Caldwell, Idaho. Qualified in 2012, 14 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Idaho.

Years since qualifying
14
Licensed in
AZ, ID
In the registry since
2012
Specialties on file
2
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

512 N 21st Ave
Caldwell, ID 83605-4368
Phone: (208) 809-2875
Fax: (208) 809-2876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1250 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5210 (AZ)

Record details

NPI number1336499730
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2012
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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