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JUSAC ARIZTHIAN SURYANATA NP
NPI 1124897046
Nurse Practitioner - Psychiatric/Mental Health in Oceanside, CA

Active since December 20, 2023PECOS EnrolledAccepts Medicare Assignment
3308 CAROLYN CIR, OCEANSIDE, CA 92054(760) 658-4405 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jusac Arizthian Suryanata Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSAC ARIZTHIAN SURYANATA NP (NPI 1124897046) is an individual psychiatric/mental health provider in Oceanside, California, licensed in California (95031637) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124897046
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUSAC ARIZTHIAN SURYANATACredential: NP
Location Address3308 CAROLYN CIROceanside, CA 92054-3844
Mailing Address3308 Carolyn CirOceanside, CA 92054-3844 · (760) 658-4405
Phone(760) 658-4405
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 20, 2023
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1124897046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95031637
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95166131 (CA)
3308 CAROLYN CIR, Oceanside, CA 92054
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Other Identifiers 2

Other95166131CA · California Brn
Other95031637CA · California Brn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jusac Arizthian Suryanata Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082131453
PECOS Enrollment IDI20250508002243
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jusac Suryanata's NPI number?

The NPI number for Jusac Suryanata is 1124897046. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Jusac Suryanata located?

Jusac Suryanata practices at 3308 Carolyn Cir, Oceanside, CA 92054. The listed phone number is (760) 658-4405.

What is Jusac Suryanata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jusac Suryanata enrolled in Medicare?

Yes. Jusac Suryanata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jusac Suryanata was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.