Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jason Niles Kukas, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437876760

Mr. Jason Niles Kukas, PMHNP-BC is a Nurse Practitioner in Upland, California. Qualified in 2022, 4 years ago. Practices with Health Service Alliance, a 14-clinician group. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

954 W Foothill Blvd Ste A
Upland, CA 91786-3782
Phone: (909) 846-4222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95023040 (CA)

Record details

NPI number1437876760
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Health Service Alliance — 14 clinicians
Accepts Medicare assignment Not indicated

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