Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tanya Lumbangaol

Individual provider Physician Assistant · NPI 1972018513

Tanya Lumbangaol is a Physician Assistant in Fontana, California. Qualified in 2017, 9 years ago. Practices with Foothills Pain Management Clinic PC, a 9-clinician group and accepts Medicare assignment. Licensed in California and Guam.

Years since qualifying
9
Licensed in
CA, GU
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

6768 Winter Night Ct
Fontana, CA 92336-1417
Phone: (909) 782-2052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA115 (GU)
Physician Assistant Taxonomy 363A00000X · Licence PA55197 (CA)

Record details

NPI number1972018513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 5, 2017
Last updated in NPPESAugust 23, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Foothills Pain Management Clinic Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fontana