JACKSON MEDICAL SERVICES (NPI# 1114929437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114929437 |
| Entity Type | Organization |
| Organization Name | JACKSON MEDICAL SERVICES |
| Practice Address |
2930b Hilltop Mall Rd Richmond CA 94806-1902 |
| Practice Telephone | 5102221075 |
| Practice Fax Number | 5102221575 |
| Mailing Telephone | 5102221075 |
| Mailing Fax Number | 5102221575 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDREW JACKSON (OWNER) |
| Authorized Official Telephone | 5102221075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | DME02720F | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME02720F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033769559 | Jackson Medical Services | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-09-17 |
| 1396063012 | Jackson Medical Services | Nurse Anesthetist, Certified Registered | 9 Physicians Dr, Jackson, TN 38305-2071 | 2010-05-05 |
| Street Address |
2930B HILLTOP MALL RD |
| City | RICHMOND |
| State | CA |
| Zip Code | 94806-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265055883 | Home Infusion Richmond, LLC | Durable Medical Equipment & Medical Supplies | 9323 Midlothian Tpke Ste S, Richmond, VA 23235-4942 | 2020-05-19 |
| 1013541259 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 831 Dillon Dr Ste 102, Richmond, IN 47374-8048 | 2020-02-26 |
| 1376174375 | Altaf Mawani | Durable Medical Equipment & Medical Supplies | 8227 Jasmine Ct, Richmond, TX 77469-4602 | 2020-01-28 |
| 1497392245 | The Sleep Dentists Pllc | Durable Medical Equipment & Medical Supplies | 921 Hull St Ste S, Richmond, VA 23224-4069 | 2019-11-27 |
| 1699319228 | Noah Medical Supply | Durable Medical Equipment & Medical Supplies | 1108 E Main St Ste 906, Richmond, VA 23219-3539 | 2019-11-06 |
| 1841833977 | Sav Rite Pharmacy Richmond LLC | Durable Medical Equipment & Medical Supplies | 2002 Merchant Dr, Richmond, KY 40475-8167 | 2019-10-22 |
| 1174171144 | Health N Care Supplies | Durable Medical Equipment & Medical Supplies | 9315 Limestone Ranch Ln, Richmond, TX 77407-1762 | 2019-09-03 |
| 1053979179 | Sena LLC | Durable Medical Equipment & Medical Supplies | 11522 Picollo Dr, Richmond, TX 77406-1417 | 2019-06-04 |
| 1598322612 | Medarch Ventures LLC | Durable Medical Equipment & Medical Supplies | 10535 Mason Rd Unit 1105, Richmond, TX 77406-5716 | 2019-05-23 |
| 1124592258 | A&a Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1860 Fm 359 Rd Ste 108, Richmond, TX 77406-1296 | 2019-01-11 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.