Lukas Maxwell Wilson

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

5251-2674-5073 Issued in CA

Practice address

35114 Mountain View St
Yucaipa, CA 92399-4725

Phone

(909) 708-7556

NPI assigned

Aug 25, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1790663110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35114 MOUNTAIN VIEW ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994725",
            "telephone_number": "909-708-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35114 MOUNTAIN VIEW ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994725",
            "telephone_number": "909-708-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LUKAS",
        "middle_name": "MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "CA",
            "license": "5251-2674-5073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Williams
• Tamarind Williams, HIGH SCHOOL DIPLOMA
• Terrence Williams, HIGH SCHOOL DIPLOMA
• Carly Wilson, MS, PPS
• Jeremy Michael Wilson
• Penchitt Winkelman, FNP
• Karen Winston, M.D.
• Steven Mark Wolfram, DDS
• Olivia Santos Wong Yu
• Lisa Wong-Soqui, FNP

• Intermediate Emergency Medical Technician in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Intermediate Emergency Medical Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.