Mr Jason Niles Kukas, PMHNP-BC | |
954 W Foothill Blvd Ste A, Upland, CA 91786-3782 | |
(909) 846-4222 | |
Not Available |
Full Name | Mr Jason Niles Kukas |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 954 W Foothill Blvd Ste A, Upland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437876760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95023040 (California) | Primary |
Entity Name | Health Service Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason Niles Kukas, PMHNP-BC 41500 Washington St Apt E224, Bermuda Dunes, CA 92203-9516 Ph: (760) 989-7608 | Mr Jason Niles Kukas, PMHNP-BC 954 W Foothill Blvd Ste A, Upland, CA 91786-3782 Ph: (909) 846-4222 |
Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 | |
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977 | |
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991 | |
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546 | |
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525 | |
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030 | |
Mrs. Mina Grasso, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 210, Upland, Upland, CA 91786 Phone: 909-982-1074 Fax: 909-982-3104 |