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MR. JAKE WYATT JOHNSON PA-C
NPI 1982560629
Physician Assistant in Las Vegas, NV

Active since December 26, 2025
9888 WITTIG AVE, LAS VEGAS, NV 89149(623) 692-9633 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jake Wyatt Johnson Pa-c NPPES

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

MR. JAKE WYATT JOHNSON PA-C (NPI 1982560629) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA3377) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1982560629
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JAKE WYATT JOHNSONCredential: PA-C
Location Address9888 WITTIG AVELas Vegas, NV 89149-1363
Mailing Address9888 Wittig AveLas Vegas, NV 89149-1363
Phone(623) 692-9633
Sole ProprietorNo
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1982560629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA3377
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9888 WITTIG AVE, Las Vegas, NV 89149
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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 Johnson's NPI number?

The NPI number for Jake Johnson is 1982560629. It was assigned to this individual provider in the NPPES registry on December 26, 2025.

Where is Jake Johnson located?

Jake Johnson practices at 9888 Wittig Ave, Las Vegas, NV 89149. The listed phone number is (623) 692-9633.

What is Jake Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jake Johnson was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.