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JAKE WILSON
NPI 1700203023
Emergency Medicine in Lancaster, CA

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Jake Wilson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Dimas Emergency Medical Associates Inc.
46 mi
Emergency Medicine
1350 W COVINA BLVD
San Dimas, CA 91773
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1720239460 (310) 321-0143
Huntington Park Emergency Physicians, Inc
50 mi
Emergency Medicine
2623 E SLAUSON AVE
Huntington Park, CA 90255
  • Reassigned Medicare billing, California enrollment
  • 74 clinicians in this Medicare group
NPI 1053747121 (310) 321-0143
Montclair Emergency Medical Associates
51 mi
Emergency Medicine
5000 SAN BERNARDINO ST
Montclair, CA 91763
  • Reassigned Medicare billing, California enrollment
  • 98 clinicians in this Medicare group
NPI 1316044696 (909) 625-8307
Providence Medical Foundation
53 mi
General Practice
1514 VALLEY VISTA DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1285890624 (909) 860-1144
San Carlos Apache Healthcare Corporation
453 mi
Critical Access Hospital
103 MEDICINE WAY ROAD
Peridot, AZ 85542
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1265813075 (928) 475-1200
Pacific County Hospital District 2
876 mi
Critical Access
800 ALDER ST
South Bend, WA 98586
  • Reassigned Medicare billing, Washington enrollment
  • 104 clinicians in this Medicare group
NPI 1295708683 (360) 875-5526
Western Washington Emergency Physicians PLLC
885 mi
Emergency Medicine
14815 PACIFIC AVE S
Parkland, WA 98444
  • Reassigned Medicare billing, Washington enrollment
  • 105 clinicians in this Medicare group
NPI 1801352505 (253) 697-8660
Sound Physicians Emergency Medicine Of Washington PLLC
974 mi
Emergency Medicine
2000 HOSPITAL DR
Sedro Woolley, WA 98284
  • Reassigned Medicare billing, Washington enrollment
  • 139 clinicians in this Medicare group
NPI 1629532064 (360) 856-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
FREDERIC S AUERBACH MD
Emergency Medicine
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
MARTIN VASQUEZ
Nurse Practitioner
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
DALIA CHRISTINE ZAHROON PA-C
Physician Assistant
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 726-6225
DR. XIAOYAN ZHOU
Pathology (Anatomic Pathology & Clinical Pathology)
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5611
ROSANNA EDITH SALICE FNP
Registered Nurse (Emergency)
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
MS. NATALIE HERNANDEZ
Speech-Language Pathologist
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000
FRANK DETRANA MD
Emergency Medicine
1600 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 949-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jake Wilson located?

Jake Wilson practices at 1600 W Avenue J, Lancaster, CA 93534. The listed phone number is (661) 949-5000.

What is Jake Wilson's specialty?

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

Is Jake Wilson enrolled in Medicare?

Yes. Jake Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jake Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Wilson reassigns Medicare benefits to 8 organizations: San Dimas Emergency Medical Associates Inc. (San Dimas, CA), Huntington Park Emergency Physicians, Inc (Huntington Park, CA), Montclair Emergency Medical Associates (Montclair, CA), Providence Medical Foundation (Diamond Bar, CA), San Carlos Apache Healthcare Corporation (Peridot, AZ) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Wilson accept?

Health plans from Blue Cross Blue Shield of Arizona list Jake Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jake Wilson affiliated with any hospitals?

According to CMS data, Jake Wilson is affiliated with Multicare Good Samaritan Hospital and Willapa Harbor Hospital.

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.