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

Pierce Derico

Individual provider Military Health Care Provider · NPI 1891322269

Pierce Derico is a Military Health Care Provider in Twentynine Palms, California. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1145 Sturgis Rd
Twentynine Palms, CA 92278-8275
Phone: (760) 830-2117
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101273114 (VA)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1891322269
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 3, 2023
Certification dateJune 22, 2023

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