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

Derrick Nicholas Damaso

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598487035

Derrick Nicholas Damaso is a Physician Assistant in LA Mesa, California. Qualified in 2022, 4 years ago. Practices with Sharp Rees-Stealy Medical Group Inc, a 874-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

6136 Lake Murray Blvd
LA Mesa, CA 91942-2502
Phone: (877) 693-6266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 — (714) 449-7400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA62170 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598487035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2022
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address27741 Glacier Pl, Castaic, CA 91384-3729

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 Sharp Rees-Stealy Medical Group Inc — 874 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in LA Mesa