JKW HEALTHCARE
NPI 1740905322
Clinic/Center - Primary Care in Fresno, CA
About Jkw Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JKW HEALTHCARE (NPI 1740905322) is a healthcare organization registered as a primary care in Fresno, California and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 30, 2027, maintains 2 additional practice locations, and lists Jiakun Wang, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jkw Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Jkw Healthcare, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2334757
Jkw Healthcare · Fresno, CAFrequently 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 Jkw Healthcare's NPI number?
The NPI number for Jkw Healthcare is 1740905322. It was assigned to this organization in the NPPES registry on October 6, 2022.
Where is Jkw Healthcare located?
Jkw Healthcare is located at 1111 E Warner Ave Ste 102, Fresno, CA 93710. The listed phone number is (559) 512-7313.
What is Jkw Healthcare's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jkw Healthcare enrolled in Medicare?
Yes. Jkw Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jkw Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Jkw Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Internal Medicine (3) and Hospitalist (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jkw Healthcare hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2334757) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jkw Healthcare was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Jkw Healthcare · NPI 1740905322
Primary Care organization in Fresno, California. Organization record, active in the CMS NPPES registry since October 6, 2022.
## Identity
- **NPI:** 1740905322 (Entity type: Organization)
- **Enumerated:** October 6, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jiakun Wang, PRESIDENT
## Practice location
- **Address:** 1111 E WARNER AVE STE 102, Fresno, CA 93710-4030
- **Phone:** (559) 512-7313 · **Fax:** (559) 512-7153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Internal Medicine (3), Hospitalist (2); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740905322) · Data from the CMS NPPES public registry.