Jake L Wilson (NPI# 1700203023, PAC ID# 8022374560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700203023 |
| PAC ID by PECOS | 8022374560 |
| Professional Enrollment ID | I20171115003830 |
| Full Name | Jake L Wilson |
| Organization Legal Name | ANTELOPE VALLEY EMERGENCY MEDICAL ASSOCIATES INC |
| Address |
1600 W Ave J Antelope Valley Hosital Lancaster CA 93534-2894 |
| Phone Number | 6619495000 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7517851959 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050056 | ANTELOPE VALLEY HOSPITAL |
| 050006 | ST JOSEPH HOSPITAL |
| 050091 | COMMUNITY HOSPITAL OF HUNTINGTON PARK |
| Address | Phone | Organization |
|---|---|---|
| 2700 Dolbeer St, Eureka, CA 95501-4736 | 7074458121 | ST JOSEPH HERITAGE HEALTHCARE |
| 2623 E Slauson Ave, Huntington Park, CA 90255-2926 | 3235831931 | HUNTINGTON PARK EMERGENCY PHYSICIANS INC |
| 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 | 6619495000 | ANTELOPE VALLEY EMERGENCY MEDICAL ASSOCIATES INC |
| Organization Legal Name | ANTELOPE VALLEY EMERGENCY MEDICAL ASSOCIATES INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette J Shon | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Shelca W Ramirez | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Atilla B Uner | Emergency Medicine | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Darah L Wilson | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Naresh Ramarajan | Emergency Medicine | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Suzanne M Fisk | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Meredith C Graham | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Dennis T Hsieh | Emergency Medicine | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Mitchell M Goldstein | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Sara J Stamback | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Street Address |
1600 W AVE J ANTELOPE VALLEY HOSITAL |
| City | LANCASTER |
| State | CA |
| Zip | 93534-2894 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette J Shon | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Amir G Nasseri | Obstetrics/gynecology | Dhp of California Medical Group Inc | 1600 W Ave J, Lancaster, CA 93534-2814 |
| Gunanayagam I Varaprasathan | Pathology | G I Varaprasathan Md A Prof Corp | 1600 W Ave J, Department of Pathology, Lancaster, CA 93535-2814 |
| Deborah D Castine | Anesthesiology | Anesthesia Partners of North Valley Medical Associates | 1600 W Ave J, Lancaster, CA 93534-2814 |
| Shelca W Ramirez | Nurse Practitioner | Antelope Valley Emergency Medical Associates Inc | 1600 W Ave J, Antelope Valley Hosital, Lancaster, CA 93534-2894 |
| Kellie D Greenblatt | General Surgery | Renaissance Imaging Medical Associates Inc | 1600 W Ave J, Lancaster, CA 93534-2814 |
| Sangar P Selva | Internal Medicine | 1600 W Ave J, Lancaster, CA 93534-2894 | |
| Myra C Martin | Anesthesiology | Anesthesia Partners of North Valley Medical Associates | 1600 W Ave J, Lancaster, CA 93534-2814 |
| Khalid K Javeri | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 1600 W Ave J, Lancaster, CA 93534-2814 |
| Richard Yoo | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 1600 W Ave J, Lancaster, CA 93534-2814 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil Kumar | Cardiovascular Disease (cardiology) | 44215 15th W St, Suite 215, Lancaster, CA 93534 | |
| Sethu V Madhavan | Gastroenterology | 867 W Lancaster Blvd, Lancaster, CA 93534-0000 | |
| Young J Ko | Internal Medicine | 44215 15th St W, Suite 303, Lancaster, CA 93534-0007 | |
| Patalappa Chandrashekar | Anesthesiology | 44830 Vly Central Way, Suite 107, Lancaster, CA 93534-1505 | |
| Joseph Ezra | Psychiatry | Tarzana Treatment Centers, Inc. | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 |
| Jonathan P Martinez | General Practice | Tarzana Treatment Centers, Inc. | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 |
| Rich F Emanuel | Nurse Practitioner | Tarzana Treatment Centers, Inc. | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 |
| Michael L Gales | Physician Assistant | Antelope Valley Community Clinic | 45104 10th St W, Lancaster, CA 93534-2310 |
| Soyeon Chin | General Practice | Antelope Valley Community Clinic | 45104 10th St W, Lancaster, CA 93534-2310 |
| Felicia Williams | Nurse Practitioner | Antelope Valley Community Clinic | 45104 10th St W, Lancaster, CA 93534-2310 |
| Find all physicians in zip 93534 | |||
| City | LANCASTER |
| Zip Code | 93534 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LANCASTER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jake L Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.