Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Anthony Boucher, PA-C

Individual provider Physician Assistant · NPI 1730736752

Ian Anthony Boucher, PA-C is a Physician Assistant in Palo Alto, California. Qualified in 2020, 6 years ago. Practices with Stanford Health Care, a 3,085-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Pasteur Dr
Palo Alto, CA 94305-2200
Phone: (650) 724-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58296 (CA)

Record details

NPI number1730736752
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2019
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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