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

Degache Landu Fukiau

Individual provider Physician Assistant · NPI 1629723200

Degache Landu Fukiau is a Physician Assistant in Fairfax, Virginia. Qualified in 2022, 4 years ago. Practices with Patient First Richmond Medical Group PLLC, a 320-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
4
Licensed in
MD, VA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10100 Fairfax Blvd
Fairfax, VA 22030-2000
Phone: (703) 679-1876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9000 Woodyard Rd, Clinton, MD 20735-4206 — (240) 546-3428
  • 901 S 72nd Ave Apt 223, Yakima, WA 98908-1861 — (703) 554-0333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009709 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0009928 (MD)

Record details

NPI number1629723200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2022
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Patient First Richmond Medical Group Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

Other providers in Fairfax