Jack G Mcculloch Jr
NPI 1790859585 · Durable Medical Equipment & Medical Supplies · Brea, CA
Jack G Mcculloch Jr is a Durable Medical Equipment & Medical Supplies organization in Brea, CA (NPI 1790859585).
Provider details
- NPI number
- 1790859585
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Apryl Mcculloch, Co-Owner(714) 529-6399
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- Mcculloch'S Wide Shoes
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2013-04-11
Frequently asked questions
- What is Jack G Mcculloch Jr's NPI number?
- Jack G Mcculloch Jr's National Provider Identifier (NPI) is 1790859585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack G Mcculloch Jr?
- Jack G Mcculloch Jr is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Jack G Mcculloch Jr located?
- Jack G Mcculloch Jr's practice location on file with NPPES is 685 S Brea Blvd, Brea, CA 92821-5308.
- What is Jack G Mcculloch Jr's phone number?
- The practice phone number listed in the NPPES registry for Jack G Mcculloch Jr is (714) 529-6399.
- Who is the authorized official for Jack G Mcculloch Jr?
- The authorized official listed on Jack G Mcculloch Jr's NPPES record is Apryl Mcculloch, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack G Mcculloch Jr's NPI active?
- Yes — Jack G Mcculloch Jr's NPI (1790859585) is active in the NPPES registry as of the last update on 2013-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.