JAKE WILSON
NPI 1700203023
Emergency Medicine in Lancaster, CA

Q: What is Jake Wilson's NPI number?

The NPI number for Jake Wilson is 1700203023. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Q: What is Jake Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Wilson was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment

1600 W AVENUE J, LANCASTER, CA 93534(661) 949-5000 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 21, 2023, Nov 18, 2021, May 15, 2019 and 1 more (4 updates tracked since 2018).

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About Jake Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE WILSON (NPI 1700203023) is an individual emergency medicine provider in Lancaster, California, licensed in California (A141468) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1700203023

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJAKE WILSON

Location Address1600 W AVENUE JLancaster, CA 93534

Mailing Address1128 Ocean Park Blvd Apt 201Santa Monica, CA 90405-4765 · (512) 470-6262

Phone(661) 949-5000

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2014

Enumeration DateMarch 25, 2014

Last NPPES UpdateMarch 21, 20234 updates tracked since enumeration

NPPES CertifiedMarch 21, 2023

✔ NPI 1700203023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in CA · A141468✔ Licensed in WA · MD61413870

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1600 W AVENUE J, Lancaster, CA 93534

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Secondary Practice Location 1

Location 1924 Westwood Blvd, Suite 300Los Angeles, CA 90024 · Phone (310) 794-0585

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jake Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022374560

PECOS Enrollment IDI20171115003830, I20230327002807

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

150 services149 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

102 services88 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

102 services102 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

44 services44 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services24 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500079

Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County

Emergency services Birthing friendly

Willapa Harbor Hospital

Critical Access Hospitals · South Bend, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501303

Location800 Alder StreetSouth Bend, WA 98586 · Pacific County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTIAN CHAVAT HAUSER P.A-C

Physician Assistant (Medical)