DR. RYAN BEAU BOURGETTE MD
NPI 1629489257
Family Medicine in San Diego, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ryan Bourgette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAN DIEGO, CA 92109
SAN DIEGO, CA 92109
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 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.
Where is Ryan Bourgette located?
Ryan Bourgette practices at 3705 Mission Blvd, San Diego, CA 92109. The listed phone number is (619) 515-2444.
What is Ryan Bourgette's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ryan Bourgette enrolled in Medicare?
Yes. Ryan Bourgette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ryan Bourgette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Bourgette reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Bourgette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ryan Bourgette was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Ryan Beau Bourgette, MD · NPI 1629489257
Family Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 16, 2014.
## Identity
- **NPI:** 1629489257 (Entity type: Individual)
- **Enumerated:** May 16, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A167450 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3705 MISSION BLVD, San Diego, CA 92109-7104
- **Phone:** (619) 515-2444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629489257) · Data from the CMS NPPES public registry.