Healthcare Provider Details

I. General information

NPI: 1255241485
Provider Name (Legal Business Name): JKC CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 JASMINE WAY
SAN LEANDRO CA
94578-4457
US

IV. Provider business mailing address

585 JASMINE WAY
SAN LEANDRO CA
94578-4457
US

V. Phone/Fax

Practice location:
  • Phone: 510-690-4018
  • Fax:
Mailing address:
  • Phone: 510-690-4018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JOHN KEVIN PEREZ CORPUZ
Title or Position: PRESIDENT/OWNER
Credential: RN
Phone: 510-690-4018