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

Derrick Devon Fargo

Individual provider Peer Specialist · NPI 1932053873

Derrick Devon Fargo is a Peer Specialist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

16221 N 7th Dr
Phoenix, AZ 85023-7900
Phone: (623) 312-6491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence D09261199 (AZ)
Non-emergency Medical Transport (VAN) Taxonomy 343900000X · Licence D09261199 (AZ)

Record details

NPI number1932053873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 26, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address16221 N 7th Dr, Phoenix, AZ 85023-7900

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