DERRICK NICHOLAS DAMASO
NPI 1598487035
Physician Assistant - Medical in La Mesa, CA

Active since September 12, 2022PECOS EnrolledAccepts Medicare Assignment
6136 LAKE MURRAY BLVD, LA MESA, CA 91942(877) 693-6266 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 24, 2023, Sep 12, 2022 (2 updates tracked since 2022).

About Derrick Nicholas Damaso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK NICHOLAS DAMASO (NPI 1598487035) is an individual medical provider in La Mesa, California, licensed in California (PA62170) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1598487035
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDERRICK NICHOLAS DAMASO
Location Address6136 LAKE MURRAY BLVDLa Mesa, CA 91942-2502
Mailing Address27741 Glacier PlCastaic, CA 91384-3729 · (661) 857-4918
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 12, 2022
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1598487035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA62170
6136 LAKE MURRAY BLVD, La Mesa, CA 91942

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derrick Nicholas Damaso is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537694401
PECOS Enrollment IDI20241202001891
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
Physician Assistant
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
Physician Assistant
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
Physician Assistant (Medical)
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
Clinic/Center (Urgent Care)
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
Specialist
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
Physician Assistant
6136 LAKE MURRAY BLVD
LA MESA, CA 91942
Emergency Medicine
6136 LAKE MURRAY BLVD
LA MESA, CA 91942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Damaso's NPI number?

The NPI number for Derrick Damaso is 1598487035. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Derrick Damaso located?

Derrick Damaso practices at 6136 Lake Murray Blvd, La Mesa, CA 91942. The listed phone number is (877) 693-6266.

What is Derrick Damaso's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Derrick Damaso enrolled in Medicare?

Yes. Derrick Damaso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derrick Damaso was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.