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DERRICK DEVON FARGO
NPI 1932053873
Peer Specialist in Phoenix, AZ

Active since February 26, 2026
16221 N 7TH DR, PHOENIX, AZ 85023(623) 312-6491 Get Directions Write a Review

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

Record update history: Mar 23, 2026, Mar 16, 2026, Mar 12, 2026 (3 updates tracked since 2026).

About Derrick Devon Fargo NPPES

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

DERRICK DEVON FARGO (NPI 1932053873) is an individual peer specialist in Phoenix, Arizona, licensed in Arizona (D09261199) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1932053873
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDERRICK DEVON FARGO
Location Address16221 N 7TH DRPhoenix, AZ 85023-7900
Mailing Address16221 N 7th DrPhoenix, AZ 85023-7900 · (480) 709-2868
Phone(623) 312-6491
Sole ProprietorYes
Enumeration DateFebruary 26, 2026
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1932053873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in AZ · D09261199
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License D09261199 (AZ)
16221 N 7TH DR, Phoenix, AZ 85023
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Other Providers at the Same Location NPPES

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

DVTRANSPORTATIONAZ LLC
Transportation Network Company
16221 N 7TH DR
PHOENIX, AZ 85023
Maricopa County (480) 709-2868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Fargo's NPI number?

The NPI number for Derrick Fargo is 1932053873. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Derrick Fargo located?

Derrick Fargo practices at 16221 N 7th Dr, Phoenix, AZ 85023. The listed phone number is (623) 312-6491.

What is Derrick Fargo's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Derrick Fargo was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.