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

Mr. Ardelius Saye Boan, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1790147270

Mr. Ardelius Saye Boan, NP-C is a Nurse Practitioner in Stanford, California. Qualified in 2015, 11 years ago. Practices with Northbay Health Medical Foundation, a 202-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Potrero Ave., San Francisco, CA 94110-3518 — (415) 206-3200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95009672 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence NP95009672 (CA)

Record details

NPI number1790147270
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedMarch 24, 2016
Last updated in NPPESFebruary 6, 2023
Certification dateSeptember 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northbay Health Medical Foundation — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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