Active NPI
Anna Jayoung Kwon
- Registered Dietitian
- Fresno, CA
National Provider Identifier
1427908854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1222 W Shaw Ave
Fresno, CA 93711-3706 - Phone
- (805) 290-2339
- NPI assigned
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1222 W Shaw Ave
Fresno, CA 93711-3706
Mailing address
13336 Vinewood
Moorpark, CA 93021-3018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8737 Fletcher Pkwy
Apt 666
La Mesa, CA 91942-3234
8737 Fletcher Pkwy Apt
Suite 666
LA Mesa, CA 91942-3239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fueled by Leo, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
5100 N 6th St
Ste 135
Fresno, CA 93710
Phone (559) 490-2067
1222 W Shaw Ave
Fresno, CA 93711
Phone (559) 512-0404
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1427908854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13336 VINEWOOD",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930213018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113706",
"telephone_number": "805-290-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "ANNA",
"middle_name": "JAYOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.