DR. RYAN BEAU BOURGETTE MD - NPI 1629489257 - Family Medicine in San Diego, CA

Q: What is Ryan Bourgette's NPI number?

The NPI number for Ryan Bourgette is 1629489257. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Q: What is Ryan Bourgette's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Bourgette was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Ryan Beau Bourgette Md NPPES

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

DR. RYAN BEAU BOURGETTE MD (NPI 1629489257) is an individual family medicine provider in San Diego, California, licensed in California (A167450) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2018).

NPPES Registry Identity

NPI1629489257

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RYAN BEAU BOURGETTECredential: MD

Location Address3705 MISSION BLVDSan Diego, CA 92109-7104

Mailing Address2811 E Virginia AveAnaheim, CA 92806-4442 · (714) 336-9381

Phone(619) 515-2444

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2018

Enumeration DateMay 16, 2014

Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1629489257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A167450

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3705 MISSION BLVD, San Diego, CA 92109

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Beau Bourgette Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305215104

PECOS Enrollment IDI20221219001312

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

JULIUS DANG M.D.

Family Medicine