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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANTIBANEZ PAC IDAHO
NPI 1346015948
Internal Medicine - Geriatric Medicine in Idaho Falls, ID

Active since November 24, 2023
840 E ELVA ST, IDAHO FALLS, ID 83401(208) 523-4795 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Nov 24, 2023 (2 updates tracked since 2023).

About Santibanez Pac Idaho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTIBANEZ PAC IDAHO (NPI 1346015948) is a healthcare organization registered as a geriatric medicine in Idaho Falls, Idaho and active in the NPI registry since November 2023. The organization lists Julie Roser, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1346015948
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSANTIBANEZ PAC IDAHO
Location Address840 E ELVA STIdaho Falls, ID 83401-2801
Mailing Address400 E Rivulon Blvd Ste 103Gilbert, AZ 85297-0096 · (888) 408-7008
Phone(208) 523-4795
Organization SubpartNo
Authorized OfficialJulie RoserVp Of Operations · (775) 222-0045
Enumeration DateNovember 24, 2023
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1346015948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
840 E ELVA ST, Idaho Falls, ID 83401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
840 E ELVA ST
IDAHO FALLS, ID 83401
Bonneville County (208) 523-4795
JARED D. MORRISON CSW
Social Worker (Clinical)
840 E ELVA ST
IDAHO FALLS, ID 83401
Bonneville County (208) 523-4795
IDAHO FALLS NORTH OF CASCADIA, LLC
Skilled Nursing Facility
840 E ELVA ST
IDAHO FALLS, ID 83401
Bonneville County (208) 401-9600
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Assisted Living Facility
840 E ELVA ST
IDAHO FALLS, ID 83401
Bonneville County (208) 523-4795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santibanez Pac Idaho's NPI number?

The NPI number for Santibanez Pac Idaho is 1346015948. It was assigned to this organization in the NPPES registry on November 24, 2023.

Where is Santibanez Pac Idaho located?

Santibanez Pac Idaho is located at 840 E Elva St, Idaho Falls, ID 83401. The listed phone number is (208) 523-4795.

What is Santibanez Pac Idaho's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Santibanez Pac Idaho was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.