JONATHAN KUSMULYANA NURSE PRACTITIONER
NPI 1184580029
Nurse Practitioner - Psychiatric/Mental Health in Corona, CA

Q: What is Jonathan Kusmulyana's NPI number?

The NPI number for Jonathan Kusmulyana is 1184580029. It was assigned to this individual provider in the NPPES registry on January 3, 2026.

Q: What is Jonathan Kusmulyana's specialty?

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

Active since January 03, 2026

26120 PLUMCOT DR, CORONA, CA 92883(626) 641-5054 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jonathan Kusmulyana Nurse Practitioner NPPES

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

JONATHAN KUSMULYANA NURSE PRACTITIONER (NPI 1184580029) is an individual psychiatric/mental health provider in Corona, California, licensed in California (NP95037773) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1184580029

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJONATHAN KUSMULYANACredential: NURSE PRACTITIONER

Location Address26120 PLUMCOT DRCorona, CA 92883-3141

Mailing Address26120 Plumcot DrCorona, CA 92883-3141 · (626) 641-5054

Phone(626) 641-5054

Sole ProprietorYes

Enumeration DateJanuary 3, 2026

NPPES CertifiedJanuary 3, 2026

✔ NPI 1184580029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95037773

26120 PLUMCOT DR, Corona, CA 92883

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA ROZARIO NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)

26120 PLUMCOT DR
CORONA, CA 92883

Riverside County (562) 500-4537

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 Jonathan Kusmulyana's NPI number?

The NPI number for Jonathan Kusmulyana is 1184580029. It was assigned to this individual provider in the NPPES registry on January 3, 2026.

Where is Jonathan Kusmulyana located?

Jonathan Kusmulyana practices at 26120 Plumcot Dr, Corona, CA 92883. The listed phone number is (626) 641-5054.

What is Jonathan Kusmulyana's specialty?

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

When was this NPI record last updated?

The NPPES record for Jonathan Kusmulyana was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.