Nickes Medical Supply, LLC
NPI 1336781020 · Durable Medical Equipment & Medical Supplies · Fairfield, CA
Nickes Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies organization in Fairfield, CA (NPI 1336781020).
Provider details
- NPI number
- 1336781020
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Ngozi Austin-Eleje, Manager/Owner(915) 533-8870
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES 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
- 2019-10-14
- Last updated
- 2019-10-14
Frequently asked questions
- What is Nickes Medical Supply, LLC's NPI number?
- Nickes Medical Supply, LLC's National Provider Identifier (NPI) is 1336781020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nickes Medical Supply, LLC?
- Nickes Medical Supply, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Nickes Medical Supply, LLC located?
- Nickes Medical Supply, LLC's practice location on file with NPPES is 461 Skymaster Cir, Fairfield, CA 94535-1909.
- What is Nickes Medical Supply, LLC's phone number?
- The practice phone number listed in the NPPES registry for Nickes Medical Supply, LLC is (915) 533-8870.
- Who is the authorized official for Nickes Medical Supply, LLC?
- The authorized official listed on Nickes Medical Supply, LLC's NPPES record is Ngozi Austin-Eleje, Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nickes Medical Supply, LLC's NPI active?
- Yes — Nickes Medical Supply, LLC's NPI (1336781020) is active in the NPPES registry as of the last update on 2019-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.