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JACKSON MEDICAL SUPPLY
NPI 1578873592
Durable Medical Equipment & Medical Supplies in Vallejo, CA

Active since October 08, 2010
480 REDWOOD ST, # 44, VALLEJO, CA 94590(707) 644-4170(707) 644-4163 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON MEDICAL SUPPLY (NPI 1578873592) is a healthcare organization registered as a durable medical equipment & medical supplies in Vallejo, California and active in the NPI registry since October 2010. The organization lists Wendy Ann Wigmore, Owner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1578873592
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJACKSON MEDICAL SUPPLY INC
Location Address480 REDWOOD ST, # 44Vallejo, CA 94590-2958
Mailing Address480 Redwood St, # 44Vallejo, CA 94590-2958 · (707) 644-4170 · Fax (707) 644-4163
Phone(707) 644-4170
Fax(707) 644-4163
Organization SubpartYes
Authorized OfficialWendy Ann WigmoreOwner, Cfo · (707) 446-7014
Enumeration DateOctober 8, 2010
✔ NPI 1578873592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 53238
Definition
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.
480 REDWOOD ST, Vallejo, CA 94590
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Other Names 1

Doing Business AsJackson Medical Supply

Medical Equipment Supplier Medicare DMEPOS 25

Medicare supplier enrollment and the product categories Jackson Medical Supply Inc carries, from the Medicare DMEPOS supplier directory.

Jackson Medical Supply Inc

DMEPOS supplier · Vallejo, CA
⋮

Does not accept Medicare assignment

Jackson Medical Supply Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20540819
Medicare Participant SinceApril 19, 2010
Supplier Location480 Redwood St Ste 34Vallejo, CA 94590
Phone(707) 644-4170
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Traction Equipment
Traction tables, Traction machines, Inversion tables
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SETTY DDS INC.
Dentist
480 REDWOOD ST, SUITE 13
VALLEJO, CA 94590
Solano County (510) 449-9746
LAURENCE J. MAZZOTTA MD PC
Internal Medicine (Gastroenterology)
480 REDWOOD ST, SUITE 14
VALLEJO, CA 94590
Solano County (707) 648-3327
WELLBOUND OF VALLEJO LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
480 REDWOOD ST, SUITE 40
VALLEJO, CA 94590
Solano County (707) 556-3070
DR. RYAN CHRISTIAN THOMAS D.P.M.
Podiatrist (Foot & Ankle Surgery)
480 REDWOOD ST, SUITE 10
VALLEJO, CA 94590
Solano County (707) 643-3687
PAUL DAVID WEINER
Podiatrist (Foot & Ankle Surgery)
480 REDWOOD ST, SUITE 10
VALLEJO, CA 94590
Solano County (707) 643-3687
PAUL DAVID WEINER
Podiatrist (Foot & Ankle Surgery)
480 REDWOOD ST, SUITE 10
VALLEJO, CA 94590
Solano County (707) 643-3687
TERI BILHARTZ MEDICAL CORPORATION
General Practice
480 REDWOOD ST, SUITE 14
VALLEJO, CA 94590
Solano County (707) 654-9777
DENTAL OFFICE OF MOUNIR N. GUIRGUIS DDS, INC.
Dentist (General Practice)
480 REDWOOD ST, SUITE #13
VALLEJO, CA 94590
Solano County (707) 554-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Medical Supply Inc's NPI number?

The NPI number for Jackson Medical Supply Inc is 1578873592. It was assigned to this organization in the NPPES registry on October 8, 2010. The provider is doing business as Jackson Medical Supply.

Where is Jackson Medical Supply Inc located?

Jackson Medical Supply Inc is located at 480 Redwood St # 44, Vallejo, CA 94590. The listed phone number is (707) 644-4170.

What is Jackson Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Jackson Medical Supply Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Jackson Medical Supply Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Jackson Medical Supply Inc was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.