DR. RANDY ATTYLA LUMBANTOBING DNP, PMHNP-BC, RN
NPI 1215816624
Nurse Practitioner - Psychiatric/Mental Health in Loma Linda, CA
About Dr. Randy Attyla Lumbantobing Dnp, Pmhnp-bc, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDY ATTYLA LUMBANTOBING DNP, PMHNP-BC, RN (NPI 1215816624) is an individual psychiatric/mental health provider in Loma Linda, California, licensed in California (2025043688) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Randy Attyla Lumbantobing Dnp, Pmhnp-bc, Rn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Randy Lumbantobing reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Victorville, CA 92392
- Reassigned Medicare billing, California enrollment
- 124 clinicians in this Medicare group
Palm Springs, CA 92264
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
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 Randy Lumbantobing's NPI number?
The NPI number for Randy Lumbantobing is 1215816624. It was assigned to this individual provider in the NPPES registry on August 29, 2025.
Where is Randy Lumbantobing located?
Randy Lumbantobing practices at 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4000.
What is Randy Lumbantobing's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Randy Lumbantobing enrolled in Medicare?
Yes. Randy Lumbantobing 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.
Which organizations bill Medicare for Randy Lumbantobing's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Lumbantobing reassigns Medicare benefits to 2 organizations: High Desert Psychological Services (Victorville, CA) and Delta Specialty Partners (Palm Springs, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Lumbantobing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Randy Lumbantobing was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Randy Attyla Lumbantobing, DNP, PMHNP-BC, RN · NPI 1215816624
Psychiatric/Mental Health physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since August 29, 2025.
## Identity
- **NPI:** 1215816624 (Entity type: Individual)
- **Enumerated:** August 29, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2025043688 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92350-1716
- **Phone:** (909) 558-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): High Desert Psychological Services (NPI 1104463371, Victorville, CA); Delta Specialty Partners (NPI 1346117694, Palm Springs, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** August 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215816624) · Data from the CMS NPPES public registry.