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Randy Attyla Lumbantobing, DNP, PMHNP-BC, RN

NPI 1215816624ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Loma Linda, CA

Nurse Practitioner, Psych/Mental Health (DNP, PMHNP-BC, RN) in Loma Linda, California, trained at Loma Linda University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1215816624
StatusActive
Entity typeIndividual
CredentialDNP, PMHNP-BC, RN
Sole proprietorNo
NPI issuedAug 29, 2025
Last updated in NPPESAug 29, 2025
Certified by providerAug 15, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X2025043688CA
Registered Nurse163W00000X95227154CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (CA)

Medicare sources and data years

Education and affiliations

Medical schoolLoma Linda University School of Medicine
Graduation year2025
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other psychiatric nurse practitioners in Loma Linda

All 23 psychiatric nurse practitioners in Loma Linda · All psychiatric nurse practitioners in California