Jusac Suryanata, RN - Registered Nurse in Oceanside, CA

Jusac Suryanata, RN is a Registered Nurse - Psychiatric/mental Health based in Oceanside, California. Jusac Suryanata is licensed to practice in California (license number 95166131) and his current practice location is 3308 Carolyn Cir, Oceanside, California. He can be reached at his office (for appointments etc.) via phone at (760) 658-4405.

NPI number for Jusac Suryanata is 1124897046 and his current mailing address is 3308 Carolyn Cir, Oceanside, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124897046.

Contact Information

Jusac Suryanata, RN
3308 Carolyn Cir,
Oceanside, CA 92054-3844
(760) 658-4405
Not Available

Map and Direction




Provider's Profile

Full NameJusac Suryanata
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location3308 Carolyn Cir, Oceanside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124897046
  • Provider Enumeration Date: 12/20/2023
  • Last Update Date: 08/12/2024

Medical Identifiers

Medical identifiers for Jusac Suryanata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124897046NPI-NPPES
95166131OtherCACALIFORNIA BRN
95031637OtherCACALIFORNIA BRN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95031637 (California)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 95166131 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jusac Suryanata is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jusac Suryanata, RN
3308 Carolyn Cir,
Oceanside, CA 92054-3844

Ph: (760) 658-4405
Jusac Suryanata, RN
3308 Carolyn Cir,
Oceanside, CA 92054-3844

Ph: (760) 658-4405

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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