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

Jake Wilson

Individual provider Emergency Medicine Physician · NPI 1700203023

Jake Wilson is an Emergency Medicine in Lancaster, California. Graduated from University of Texas Medical Branch at Galveston in 2014, 12 years ago. Practices with Western Washington Emergency Physicians PLLC, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
12
Trained at
University of Texas Medical Branch at Galveston
Licensed in
CA, WA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

1600 W Avenue J
Lancaster, CA 93534
Phone: (661) 949-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 924 Westwood Blvd, Los Angeles, CA 90024 — (310) 794-0585

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A141468 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD61413870 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700203023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2014
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address1128 Ocean Park Blvd Apt 201, Santa Monica, CA 90405-4765

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2014 (12 years in practice)
Group practice Western Washington Emergency Physicians Pllc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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