Active NPI
Darwin Luke Mach
- Basic Emergency Medical Technician
- Fairfax, VA
National Provider Identifier
1720911522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- B202504875
- Practice address
- 12099 Government Center Pkwy
Fairfax, VA 22035-5501 - Phone
- (703) 246-4800
- NPI assigned
- Jun 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B202504875 | VA | Primary |
Addresses
Primary practice location
12099 Government Center Pkwy
Fairfax, VA 22035-5501
Mailing address
12300 Route 50
Fairfax, VA 22033-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B202504875 | VA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1720911522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 ROUTE 50",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12099 GOVERNMENT CENTER PKWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220355501",
"telephone_number": "703-246-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACH",
"first_name": "DARWIN",
"middle_name": "LUKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "VA",
"license": "B202504875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.