Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Randy Attyla Lumbantobing, DNP, PMHNP-BC, RN

Individual provider Registered Nurse · NPI 1215816624

Dr. Randy Attyla Lumbantobing, DNP, PMHNP-BC, RN is a Nurse Practitioner in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 2025, 1 year ago. Practices with Delta Specialty Partners, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
1
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2025
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92350-1716
Phone: (909) 558-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2025043688 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95227154 (CA)

Record details

NPI number1215816624
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , PMHNP-BC , RN
Sole proprietorNo
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Delta Specialty Partners — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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