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

Utha Andhika Lumbantobing, DNAP, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1629817028

Utha Andhika Lumbantobing, DNAP, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Los Angeles, California. Qualified in 2024, 2 years ago. Practices with Coachella Valley Anesthesia a Professional Corporation, a 127-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2051 Marengo St
Los Angeles, CA 90033-1352
Phone: (323) 409-7735
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002375 (CA)

Record details

NPI number1629817028
Entity typeIndividual (Type 1)
GenderMale
Credentials DNAP , CRNA
Sole proprietorYes
NPI enumeratedMay 23, 2024
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Coachella Valley Anesthesia A Professional Corporation — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Angeles