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

Lukas Maxwell Wilson

Individual provider Intermediate Emergency Medical Technician · NPI 1790663110

Lukas Maxwell Wilson is an Intermediate Emergency Medical Technician in Yucaipa, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

35114 Mountain View St
Yucaipa, CA 92399-4725
Phone: (909) 708-7556
Show map & directions

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

Specialties & licences

Intermediate Emergency Medical Technician (primary) Taxonomy 146M00000X · Licence 5251-2674-5073 (CA)

Record details

NPI number1790663110
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 24, 2025
Mailing address35114 Mountain View St, Yucaipa, CA 92399-4725