Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack M Wilson, MD

Individual provider Emergency Medicine Physician · NPI 1033125299

Jack M Wilson, MD is an Emergency Medicine in San Diego, California. Graduated from University of California, San Diego School of Medicine in 1981, 45 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California, Minnesota and New York.

Years since qualifying
45
Trained at
University of California, San Diego School of Medicine
Licensed in
CA, MN, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone: (619) 229-3130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G49906 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2645 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 320064 (NY)

Record details

NPI number1033125299
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Diego