Mr Jerry Joseph Stupar, REGISTERED NURSE - Registered Nurse in Granada Hills, CA

Mr Jerry Joseph Stupar, REGISTERED NURSE is a Registered Nurse - Psychiatric/mental Health, Adult based in Granada Hills, California. Mr Jerry Joseph Stupar is licensed to practice in California (license number 613194) and his current practice location is 10605 Balboa Blvd Ste 100, Granada Hills, California. He can be reached at his office (for appointments etc.) via phone at (818) 366-0325.

NPI number for Mr Jerry Joseph Stupar is 1770641607 and his current mailing address is 10605 Balboa Blvd Ste 100, Granada Hills, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770641607.

Contact Information

Mr Jerry Joseph Stupar, REGISTERED NURSE
10605 Balboa Blvd Ste 100,
Granada Hills, CA 91344-6367
(818) 366-0325
(818) 363-8951

Map and Direction




Provider's Profile

Full NameMr Jerry Joseph Stupar
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health, Adult
Location10605 Balboa Blvd Ste 100, Granada Hills, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770641607
  • Provider Enumeration Date: 12/04/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jerry Joseph Stupar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770641607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 613194 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerry Joseph Stupar is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jerry Joseph Stupar, REGISTERED NURSE
10605 Balboa Blvd Ste 100,
Granada Hills, CA 91344-6367

Ph: (818) 366-0325
Mr Jerry Joseph Stupar, REGISTERED NURSE
10605 Balboa Blvd Ste 100,
Granada Hills, CA 91344-6367

Ph: (818) 366-0325

Reviews and Comments


Registered Nurse Nurses in Granada Hills, CA

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Practice Location: 10727 White Oak Ave, Suite 206, Granada Hills, CA 91344
Phone: 818-368-5007    Fax: 818-368-5117
Dr. Betty Leong Tabora, RN
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Phone: 818-923-4788    

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