Jackson Medical Supply Inc
NPI 1578873592 · Durable Medical Equipment & Medical Supplies · Vallejo, CA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Medical Supply Inc is a Durable Medical Equipment & Medical Supplies organization in Vallejo, CA (NPI 1578873592).
Provider details
- NPI number
- 1578873592
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Jackson Medical Supply Inc
- Organization subpart
- Yes
- Authorized official
- Wendy Wigmore, Owner, Cfo(707) 446-7014
- License
- 53238 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Other names (DBA / former)
- Doing business as
- Jackson Medical Supply
Registry dates
- Enumerated
- 2010-10-08
- Last updated
- 2010-10-08
Frequently asked questions
- What is Jackson Medical Supply Inc's NPI number?
- Jackson Medical Supply Inc's National Provider Identifier (NPI) is 1578873592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Medical Supply Inc?
- Jackson Medical Supply Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Jackson Medical Supply Inc located?
- Jackson Medical Supply Inc's practice location on file with NPPES is 480 Redwood St, Vallejo, CA 94590-2958.
- What is Jackson Medical Supply Inc's phone number?
- The practice phone number listed in the NPPES registry for Jackson Medical Supply Inc is (707) 644-4170.
- Does Jackson Medical Supply Inc accept Medicare?
- Jackson Medical Supply Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Medical Supply Inc?
- The authorized official listed on Jackson Medical Supply Inc's NPPES record is Wendy Wigmore, Owner, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Medical Supply Inc's NPI active?
- Yes — Jackson Medical Supply Inc's NPI (1578873592) is active in the NPPES registry as of the last update on 2010-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.