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

Ryan Jon Schoneboom

Individual provider Physician Assistant · NPI 1962182030

Ryan Jon Schoneboom is a Physician Assistant in Stockton, California. Qualified in 2025, 1 year ago. Practices with Advanced Dermatology and Skin Cancer Specialists, an 18-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2023
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Practice location Address checks out

2431 W March Ln Ste 100
Stockton, CA 95207-8211
Phone: (209) 490-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962182030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Dermatology And Skin Cancer Specialists — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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