Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSEPH A DERICCO PA-C
NPI 1790751543
Physician Assistant in Bremerton, WA

Q: What is Joseph Dericco's NPI number?

The NPI number for Joseph Dericco is 1790751543. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Joseph Dericco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Dericco was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since February 23, 2006

1 BOONE RD, BREMERTON, WA 98312(360) 475-4426(360) 475-4344 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Joseph A Dericco Pa-c NPPES

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

JOSEPH A DERICCO PA-C (NPI 1790751543) is an individual physician assistant in Bremerton, Washington and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1790751543

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOSEPH A DERICCOCredential: PA-C

Location Address1 BOONE RDBremerton, WA 98312-1894

Mailing Address1 Boone RdBremerton, WA 98312-1894 · (360) 475-4426 · Fax (360) 475-4344

Phone(360) 475-4426

Fax(360) 475-4344

Sole ProprietorNo

Enumeration DateFebruary 23, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1790751543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 BOONE RD, Bremerton, WA 98312

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Other Providers at the Same Location NPPES 20

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

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