Jusac Suryanata is a Oceanside, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Jusac Suryanata is 95166131 in California. His current practice location is 3308 Carolyn Cir, Oceanside. Patients can reach him at 760-658-4405. Jusac Suryanata is RN with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1124897046. Jusac Suryanata provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jusac Suryanata speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124897046
NPI Enumeration Date:
20 Dec, 2023
NPI Last Update On:
12 Aug, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jusac Suryanata are as mentioned below.
License Number
Specialization
State
Status
95166131
California
Primary
95031637
Psych/Mental Health
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jusac Suryanata such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
95166131
Other
California
CALIFORNIA BRN
95031637
Other
California
CALIFORNIA BRN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jusac Suryanata 3308 Carolyn Cir, Oceanside, California
Zip:
92054-3844
Phone Number:
760-658-4405
Patients can reach Jusac Suryanata at 3308 Carolyn Cir, Oceanside, California or can call to book an appointment on 760-658-4405.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.