What is Andre Jackson's NPI number?

Andre Jackson's National Provider Identifier (NPI) is 1174452387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Andre Jackson's specialty?

Andre Jackson is listed in the NPPES registry with a primary specialty of Durable Medical Equipment & Medical Supplies (Suppliers).

Where is Andre Jackson located?

Andre Jackson's practice location on file with NPPES is 2930 Hilltop Mall Rd Ste B, Richmond, CA 94806-2197.

What is Andre Jackson's phone number?

The practice phone number listed in the NPPES registry for Andre Jackson is (510) 222-1075.

Is Andre Jackson's NPI active?

Yes — Andre Jackson's NPI (1174452387) is active in the NPPES registry as of the last update on 2026-05-14.

IndividualActive

Andre Jackson, OTHER

NPI 1174452387 · Durable Medical Equipment & Medical Supplies · Richmond, CA

Andre Jackson, OTHER is a Durable Medical Equipment & Medical Supplies provider in Richmond, CA (NPI 1174452387).

Provider details

NPI number: 1174452387
Entity type: Individual
Primary specialty: Durable Medical Equipment & Medical SuppliesSuppliers
Credential: OTHER
Sex: Male
Sole proprietor: Yes
License: 101135 (CA)

Practice location

2930 Hilltop Mall Rd Ste B

Richmond, CA 94806-2197

Phone: (510) 222-1075

Fax: (866) 665-8815

Street-level locationGet directions

More CA providers

Mailing address

2930 Hilltop Mall Rd Ste B

Richmond, CA 94806-2197

Specialties & taxonomies

Durable Medical Equipment & Medical SuppliesPrimary332B00000XLicense 101135 (CA)
Suppliers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2026-05-14
Last updated: 2026-05-14
Certified: 2026-05-14

Frequently asked questions

What is Andre Jackson's NPI number?: Andre Jackson's National Provider Identifier (NPI) is 1174452387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Andre Jackson's specialty?: Andre Jackson is listed in the NPPES registry with a primary specialty of Durable Medical Equipment & Medical Supplies (Suppliers).
Where is Andre Jackson located?: Andre Jackson's practice location on file with NPPES is 2930 Hilltop Mall Rd Ste B, Richmond, CA 94806-2197.
What is Andre Jackson's phone number?: The practice phone number listed in the NPPES registry for Andre Jackson is (510) 222-1075.
Is Andre Jackson's NPI active?: Yes — Andre Jackson's NPI (1174452387) is active in the NPPES registry as of the last update on 2026-05-14.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions