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)
Specialties & taxonomies
Suppliers
Profile Score
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.
Practice location
Mailing address
Registry dates
- 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.