Nextech Diabetes Supply, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEXTECH DIABETES SUPPLY, LLC.

Practice address

3056 Sumac Rd
Fallbrook, CA 92028-8705

Phone

(760) 809-8427

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jacqueline Pierson

Title

Ceo

Phone

(760) 809-8427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1982432738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 SUMAC RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920288705",
            "telephone_number": "760-809-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 SUMAC RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920288705",
            "telephone_number": "760-809-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTECH DIABETES SUPPLY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-809-8427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Navarro-Decierdo, PPS CREDENTIAL
• Neighborhood Healthcare
• Elizabeth Ann Nestor
• New Hope Healthcare LLC
• Felicia Erin Newman
• Danny Nguyen
• John D Nguyen, M.D.
• Justin Truong Manh Nguyen, D.M.D
• Mylinh Nguyen, RDN
• Jennifer Leighann Nicholas, FNP-C

• Durable Medical Equipment & Medical Supplies in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.