Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jusac Arizthian Suryanata, NP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1124897046

Jusac Arizthian Suryanata, NP is a Nurse Practitioner in Oceanside, California. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3308 Carolyn Cir
Oceanside, CA 92054-3844
Phone: (760) 658-4405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95031637 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95166131 (CA)

Record details

NPI number1124897046
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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