Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE WILSON
Active Sole ProprietorJAKE WILSON is a Emergency Medicine healthcare provider located in LANCASTER, California. NPI 1700203023 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · LANCASTER, CA
Registration Details
- NPI Number
- 1700203023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2014 (12.397994806378 yrs)
- Last Updated
- Mar 21, 2023
- Licenses
-
MD61413870 (WA)A141468 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 W AVENUE JLANCASTER, CA, 93534Browse CA providers · Browse ZIP 93534
- Phone
- 6619495000
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in LANCASTER, CA
| Name | Credential | NPI |
|---|---|---|
| MATTHEW RICHARD | M.D. | 1043293004 |
| MICHAEL LEIDNER | MD | 1538124987 |
| TRAVIS E DEUSON | MD | 1598720963 |
| FRANK DETRANA | MD | 1043275407 |
| CHRISTOPHER SCOTT SPENCER | MD | 1851357545 |
| FREDERIC S AUERBACH | MD | 1023074713 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.