Provider Demographics
NPI:1720472616
Name:SCHMITT, RYAN J (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:J
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10556 DARWELL CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-3035
Mailing Address - Country:US
Mailing Address - Phone:858-229-9532
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:BLDG 3 CARDIOLOGY
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1700
Practice Address - Country:US
Practice Address - Phone:619-532-7400
Practice Address - Fax:619-532-9863
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52288363AS0400X
CAPA-52288363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical