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

Mr. Corey Marc Beausoleil, PA

Individual provider Physician Assistant · NPI 1467846147

Mr. Corey Marc Beausoleil, PA is a Physician Assistant in Stanford, California. Qualified in 2014, 12 years ago. Practices with Northbay Health Medical Foundation, a 202-clinician group and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
12
Licensed in
CA, NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA53605 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-05629 (NC)

Record details

NPI number1467846147
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2015
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northbay Health Medical Foundation — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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