Ryan Boudreau , PA-C
Physician Assistant β’ Camp Pendleton, CA
200 Mercy Circle
Camp Pendleton, CA 92055
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
200 Mercy Circle
Camp Pendleton, CA 92055
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Camp Pendleton and California
24 active clinicians are listed under Physician Assistant with a practice address in Camp Pendleton, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Camp Pendleton
0% of these 24 clinicians have the CMS telehealth indicator.
4.2% of these 24 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-03-05NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 1710I1002X
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Otolaryngology
Doctor of Medicine (M.D.), Master of Science
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 2407500728)
Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
Recorded as RYAN BOUDREAU, PA-C
NPI status registered as active in NPPES database
Registered at 6955 GOLFCREST DR, APT 1030, SAN DIEGO, CA 921192470 (Tel: 2407500728)
Registered at 6955 GOLFCREST DR, APT 1030, SAN DIEGO, CA 921192470
Recorded as RYAN BOUDREAU
Military Health Care Provider
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Camp Pendleton
Mailing Address
200 Mercy Circle
Camp Pendleton, CA 92055