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

Victor M Ishida, PA

Individual provider Medical Physician Assistant · NPI 1194894113

Victor M Ishida, PA is a Physician Assistant in Fruitland, Idaho. Qualified in 1998, 28 years 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
28
Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

910 NW 16th St Ste 101
Fruitland, ID 83619-2265
Phone: (208) 452-8050
Fax: (208) 452-8055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 E 7th St, Weiser, ID 83672-2474 — (208) 414-8440

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA423 (ID)

Record details

NPI number1194894113
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address910 Nw 16th St Ste 101, Fruitland, ID 83619-2265

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fruitland