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LILIAN ROSE BALLENTOS GUMBAN-SALDANA NP
NPI 1124993290
Nurse Practitioner - Psychiatric/Mental Health in Aliso Viejo, CA

Active since October 08, 2025PECOS EnrolledAccepts Medicare Assignment
24552 PACIFIC PARK DR, ALISO VIEJO, CA 92656(949) 446-0090(949) 382-2949 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lilian Rose Ballentos Gumban-saldana Np NPPES

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

LILIAN ROSE BALLENTOS GUMBAN-SALDANA NP (NPI 1124993290) is an individual psychiatric/mental health provider in Aliso Viejo, California, licensed in California (95267244) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124993290
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLILIAN ROSE BALLENTOS GUMBAN-SALDANACredential: NP
Location Address24552 PACIFIC PARK DRAliso Viejo, CA 92656-3055
Mailing Address24552 Pacific Park DrAliso Viejo, CA 92656-3055 · (949) 446-0090 · Fax (949) 382-2949
Phone(949) 446-0090
Fax(949) 382-2949
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 8, 2025
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1124993290 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 · 95267244
24552 PACIFIC PARK DR, Aliso Viejo, CA 92656
Open in Google Maps ↗

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

Lilian Rose Ballentos Gumban-saldana 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 ID4183102783
PECOS Enrollment IDI20260203003344
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 92656 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 10

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

LAGUNA TREATMENT HOSPITAL, LLC
Special Hospital
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 446-0090
YEN ANKER NP
Nurse Practitioner
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 565-2377
DR. EVAGGELOS GARY MITREVOLIS MD
Preventive Medicine (Addiction Medicine)
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 446-0099
HANS-ON RECOVERY, PLLC
Internal Medicine (Addiction Medicine)
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (518) 413-1600
ASHLEY YUSAM PA-C
Physician Assistant
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 565-2377
PRISM HEALTH INC.
Assisted Living Facility
24552 PACIFIC PARK DR, ELDERLY ASSISTED LIVING/MEMORY CARE-DIMENTIA
ALISO VIEJO, CA 92656
Orange County (949) 425-8300
HOLLY ANN OLALIA DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 647-4618
CHRISTOPHER CUMMINS LMFT, LCADC, ACS
Marriage & Family Therapist
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (494) 460-0909

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 Lilian Rose Gumban-saldana's NPI number?

The NPI number for Lilian Rose Gumban-saldana is 1124993290. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Lilian Rose Gumban-saldana located?

Lilian Rose Gumban-saldana practices at 24552 Pacific Park Dr, Aliso Viejo, CA 92656. The listed phone number is (949) 446-0090.

What is Lilian Rose Gumban-saldana's specialty?

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

Is Lilian Rose Gumban-saldana enrolled in Medicare?

Yes. Lilian Rose Gumban-saldana 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 Lilian Rose Gumban-saldana was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.