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RYAN BOUDREAU PA-C
NPI 1093194284
Physician Assistant in Camp Pendleton, CA

Active since May 21, 2015
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055(240) 750-0728 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2025, Oct 17, 2019 (2 updates tracked since 2019).

About Ryan Boudreau Pa-c NPPES

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

RYAN BOUDREAU PA-C (NPI 1093194284) is an individual physician assistant in Camp Pendleton, California, licensed in (1164982) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1093194284
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN BOUDREAUCredential: PA-C
Location Address200 MERCY CIRCLECamp Pendleton, CA 92055
Mailing Address200 Mercy CircleCamp Pendleton, CA 92055
Phone(240) 750-0728
Sole ProprietorNo
Enumeration DateMay 21, 2015
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1093194284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 1164982
Definition
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.
Also ListedMilitary Health Care Provider · Independent Duty CorpsmanTaxonomy 1710I1002X
200 MERCY CIRCLE, Camp Pendleton, CA 92055
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Other Providers at the Same Location NPPES 20

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

MARIA J HERRERA PH.D.
Psychologist (Clinical)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (510) 542-0859
SHERRI MARTINEZ LMFT, ADCII
Counselor (Addiction (Substance Use Disorder))
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-0063
DR. ASHLEY BITTLE LCSW, PSY.D.
Psychologist (Clinical)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3322
MISS KELLY CAROL PENG D.O
Military Health Care Provider
200 MERCY CIRCLE, EMERGENCY MEDICINE DEPARTMENT
OCEANSIDE, CA 92055
San Diego County (760) 719-3994
CAROLYN STEINLAGE DPT
Physical Therapist
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-3791
SHANE MCGUIRE FMF RECON IDC
Military Health Care Provider (Independent Duty Corpsman)
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-8912
MELINDA WEE FAH MARTINEZ PA
Physician Assistant
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 719-4550
ALEXANDER JEFFREY NELSON PA-C
Physician Assistant
200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-1288

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 Ryan Boudreau's NPI number?

The NPI number for Ryan Boudreau is 1093194284. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Ryan Boudreau located?

Ryan Boudreau practices at 200 Mercy Circle, Camp Pendleton, CA 92055. The listed phone number is (240) 750-0728.

What is Ryan Boudreau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ryan Boudreau was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.