Darryl. Anderson

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Maricopa, AZ

NPI 1962357012 · NPPES record last updated Mar 3, 2026

Key facts

NPI
1962357012
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
D06065548 (AZ)
Practice address
19766 N Lief Rd
Maricopa, AZ 85138-3502
Phone
(209) 855-1082
NPI assigned
Mar 3, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D06065548AZMDNon-emergency Medical Transport (VAN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X D06065548 AZ Yes

Addresses

Primary practice location

19766 N Lief Rd
Maricopa, AZ 85138-3502

Mailing address

19766 N Lief Rd
Maricopa, AZ 85138-3502
Phone (209) 855-1082

Other providers in Maricopa, AZ

All providers in Maricopa, AZ · Non-emergency Medical Transport (VAN) in Arizona

Sources for this page

Verify at the official NPI Registry.