Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093194284 Individual Practitioner Male Practitioner

Ryan Boudreau , PA-C

Physician Assistant • Camp Pendleton, CA

Professional Overview & Biography Verified Profile Summary

Ryan Boudreau, PA-C is a registered healthcare professional specializing in Physician Assistant in Camp Pendleton, CA. Practice services are available at 200 MERCY CIRCLE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Mercy Circle

Camp Pendleton, CA 92055

Telephone 2407500728
Associated Practice Facility / Clinic
🏢 Nh Camp Pendleton Facility NPI 1386604387

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Camp Pendleton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Camp Pendleton, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License None 1164982

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.

Military Health Care Provider - Independent Duty Corpsman

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sherri Martinez , LMFT, ADCII

Counselor - Addiction (Substance Use Disorder)

NPI 1003640772

Licensed Marriage and Family Therapist, ADCII

Dr. Ashley Bittle , LCSW, PsyD

Psychologist - Clinical

NPI 1013108695

Licensed Clinical Social Worker, Doctor of Psychology (Psy.D.)

NPI 1013430370

Doctor of Physical Therapy

Melinda Martinez , PA

Physician Assistant

NPI 1023157013

Physician Assistant

Dr. Ella Schultz , DO

Student in an Organized Health Care Education/Training Program

NPI 1023851318

Doctor of Osteopathic Medicine (D.O.)

Dr. Maura Flynn , DO

Student in an Organized Health Care Education/Training Program

NPI 1023952348

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 07, 2025

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 2407500728)

📍
Updated Business Mailing Address March 07, 2025

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055

👤
Provider Name / Credentials Updated October 17, 2019

Recorded as RYAN BOUDREAU, PA-C

NPI Profile Active May 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2015

Registered at 6955 GOLFCREST DR, APT 1030, SAN DIEGO, CA 921192470 (Tel: 2407500728)

📍
Updated Business Mailing Address May 21, 2015

Registered at 6955 GOLFCREST DR, APT 1030, SAN DIEGO, CA 921192470

👤
Provider Name / Credentials Updated May 21, 2015

Recorded as RYAN BOUDREAU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2015

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration May 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093194284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2015
Last Update: March 07, 2025
Sole Proprietor: No

Mailing Address

200 Mercy Circle

Camp Pendleton, CA 92055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.