ANDRE WAYNE JACKSON OTHER
NPI 1174452387
Durable Medical Equipment & Medical Supplies in Richmond, CA
NPI Status: Active since May 14, 2026
Contact Information
2930 HILLTOP MALL RD STE B
RICHMOND, CA
ZIP 94806
Phone: (510) 222-1075
Fax: (866) 665-8815
- Individual
- Male
- Durable Medical Equipment & Medical Supp...
About ANDRE JACKSON
This page provides the complete NPI Profile along with additional information for Andre Jackson, a provider established in Richmond, California with a medical specialization in Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1174452387 assigned on May 2026. The practitioner's primary taxonomy code is 332B00000X with license number 101135 (CA). The provider is registered as an individual and his NPI record was last updated May 2026.
- NPI
- 1174452387
- Provider Name
- ANDRE WAYNE JACKSON OTHER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2930 HILLTOP MALL RD STE B RICHMOND, CA 94806
- Location Phone
- (510) 222-1075
- Location Fax
- (866) 665-8815
- Mailing Address
- 2930 HILLTOP MALL RD STE B RICHMOND, CA 94806
- Mailing Phone
- (510) 222-1075
- Mailing Fax
- (866) 665-8815
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-14-2026
- Last Update Date
- 05-14-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 101135
- License State
- CA
- Taxonomy Description
- 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174452387, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174452387, enumerated as an "individual" on May 14, 2026.
The provider is located at 2930 HILLTOP MALL RD STE B RICHMOND, CA 94806 and the phone number is (510) 222-1075.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
