Individual
JUSAC ARIZTHIAN SURYANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3308 CAROLYN CIR, OCEANSIDE, CA 92054-3844
(760) 658-4405
Mailing address
3308 CAROLYN CIR, OCEANSIDE, CA 92054-3844
(760) 658-4405
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95166131
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95031637
CALIFORNIA BRN
CA
01
—
95166131
CALIFORNIA BRN
CA
Enumeration date
12/20/2023
Last updated
04/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us