Ian Anthony Boucher, PA-C
NPI 1730736752ActiveIndividual· Physician Assistant· Palo Alto, CA
Physician Assistant (PA-C) with Stanford Health Care, practicing in Palo Alto, California. Enrolled in Medicare as practitioner - physician assistant. Lists Stanford Health Care as a hospital affiliation.
Overview
| NPI | 1730736752 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 23, 2019 |
| Last updated in NPPES | Sep 25, 2020 |
| Certified by provider | Sep 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA58296 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Stanford Health CareStanford, CA · 3,122 clinicians
Hospital affiliation
- Stanford Health CareStanford, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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