Search › California › 332B00000X
Andre Jackson, OTHER
NPI 1174452387 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2930 Hilltop Mall Rd Ste B
Richmond, CA 94806 - Phone
- (510) 222-1075
- Fax
- (866) 665-8815
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California