Organization Active NPI

JKW Healthcare

  • Urgent Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1740905322
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
JKW HEALTHCARE
Practice address
1111 E Warner Ave Ste 102
Fresno, CA 93710-4030
Phone
(559) 512-7313
Fax
(559) 512-7153
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Jiakun WangNPI 1912177627
Title
President
Phone
(615) 423-9545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1111 E Warner Ave Ste 102
Fresno, CA 93710-4030

Mailing address

2845 E Goshen Ave
Fresno, CA 93720-0528

Other practice location 1

2845 E Goshen Ave
clovis, CA 93720-0528
Phone (615) 423-9545

Other practice location 2

7445 N Fresno ST
Ste 202
Fresno, CA 93720
Phone (559) 512-7313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221209000397 CA Part B Supplier - Clinic/Group Practice 1557730702 Receives reassigned benefits from 13 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

3003 N Mariposa St
Fresno, CA 93703
Phone (559) 457-1711

7445 N Fresno St
Ste 202
Fresno, CA 93720
Phone (559) 512-7313

5265 E Huntington Ave
Fresno, CA 93727
Phone (559) 251-8244

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1740905322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 E GOSHEN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E WARNER AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104030",
            "telephone_number": "559-512-7313",
            "fax_number": "559-512-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 E Goshen Ave",
            "address_purpose": "LOCATION",
            "city": "clovis",
            "state": "CA",
            "postal_code": "937200528",
            "country_code": "US",
            "telephone_number": "615-423-9545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7445 N Fresno ST",
            "address_2": "STE 202",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93720",
            "country_code": "US",
            "telephone_number": "559-512-7313",
            "fax_number": "559-512-7153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JKW HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JIAKUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-423-9545"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "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 Jul 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.