Jusac Suryanata, NP
NPI 1124897046 · Psychiatric/Mental Health Nurse Practitioner · Oceanside, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jusac Suryanata, NP is a Psychiatric/Mental Health Nurse Practitioner provider in Oceanside, CA (NPI 1124897046).
Provider details
- NPI number
- 1124897046
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 95166131 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-20
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Jusac Suryanata's NPI number?
- Jusac Suryanata's National Provider Identifier (NPI) is 1124897046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jusac Suryanata's specialty?
- Jusac Suryanata is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jusac Suryanata located?
- Jusac Suryanata's practice location on file with NPPES is 3308 Carolyn Cir, Oceanside, CA 92054-3844.
- What is Jusac Suryanata's phone number?
- The practice phone number listed in the NPPES registry for Jusac Suryanata is (760) 658-4405.
- Does Jusac Suryanata accept Medicare?
- Jusac Suryanata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jusac Suryanata's NPI active?
- Yes — Jusac Suryanata's NPI (1124897046) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.