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

Mr. James Picanco Sr., PA-C

Individual provider Physician Assistant · NPI 1407862139

Mr. James Picanco Sr., PA-C is a Physician Assistant in Fort Hall, Idaho. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Mission Rd
Fort Hall, ID 83203-0717
Phone: (208) 238-5427
Fax: (208) 238-5465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01153 (TX)

Record details

NPI number1407862139
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 18, 2007

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