Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JKW HEALTHCARE
NPI 1740905322
Clinic/Center - Primary Care in Fresno, CA

Active since October 06, 2022CLIA 05D2334757 · Waiver
1111 E WARNER AVE STE 102, FRESNO, CA 93710(559) 512-7313(559) 512-7153 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Jul 9, 2025, May 30, 2025 and 2 more (5 updates tracked since 2022).

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

NPI1740905322
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJKW HEALTHCARE
Location Address1111 E WARNER AVE STE 102Fresno, CA 93710-4030
Mailing Address2845 E Goshen AveFresno, CA 93720-0528
Fax(559) 512-7153
Organization SubpartNo
Authorized OfficialJiakun WangPresident · (615) 423-9545
Enumeration DateOctober 6, 2022
Last NPPES UpdateSeptember 17, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1740905322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1111 E WARNER AVE STE 102, Fresno, CA 93710

Secondary Practice Locations 2

Location 17445 N Fresno ST, STE 202Fresno, CA 93720 · Phone (559) 512-7313 · Fax (559) 512-7153
Location 22845 E Goshen Aveclovis, CA 93720-0528 · Phone (615) 423-9545

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, CA
Active · expires Nov 30, 2027
CLIA Number05D2334757
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorJiakun Wang
Laboratory Phone(559) 942-1223
Laboratory LocationJkw Healthcare6121 N Thesta St Ste 115, Fresno, CA 93710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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 18 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.