LUKAS MAXWELL WILSON
NPI 1790663110
Emergency Medical Technician, Intermediate in Yucaipa, CA

Active since August 25, 2025
35114 MOUNTAIN VIEW ST, YUCAIPA, CA 92399(909) 708-7556 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lukas Maxwell Wilson NPPES

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

LUKAS MAXWELL WILSON (NPI 1790663110) is an individual emergency medical technician, intermediate provider in Yucaipa, California, licensed in California (5251-2674-5073) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1790663110
Entity TypeIndividualMale
Primary Taxonomy146M00000X
Provider Legal NameLUKAS MAXWELL WILSON
Location Address35114 MOUNTAIN VIEW STYucaipa, CA 92399-4725
Mailing Address35114 Mountain View StYucaipa, CA 92399-4725 · (909) 708-7556
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 24, 2025
NPI 1790663110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License Licensed in CA · 5251-2674-5073
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
35114 MOUNTAIN VIEW ST, Yucaipa, CA 92399

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 Lukas Wilson's NPI number?

The NPI number for Lukas Wilson is 1790663110. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Lukas Wilson located?

Lukas Wilson practices at 35114 Mountain View St, Yucaipa, CA 92399. The listed phone number is (909) 708-7556.

What is Lukas Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Lukas Wilson was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.