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, and ordering and referring status from the CMS PECOS system.
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.
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.
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 11 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
- **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.