Lilian Rose Ballentos Gumban-Saldana, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95267244 Issued in CA

Practice address

24552 Pacific Park Dr
Aliso Viejo, CA 92656-3055

Phone

(949) 446-0090

Fax

(949) 382-2949

NPI assigned

Oct 8, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Doc Integrated Med, PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1396526026
  Medicare reassignment NPD
• Great Health Medical Ca PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1285448530

  CA

  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1124993290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24552 PACIFIC PARK DR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563055",
            "telephone_number": "949-446-0090",
            "fax_number": "949-382-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24552 PACIFIC PARK DR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563055",
            "telephone_number": "949-446-0090",
            "fax_number": "949-382-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMBAN-SALDANA",
        "first_name": "LILIAN ROSE",
        "middle_name": "BALLENTOS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95267244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Rose Grant, OTR/L
• Jan Green
• Travis Green, PA-C
• Guided Alliance Pharmacy Inc
• Stephen Michael Guidi, MFT
• Maria Del Rosario Gutierrez Enciso, B.A.
• Brett Hadley, D.O.
• Richard Clinton Hahn, DDS
• Hallows End Collective Licensed Clinical Social Worker, a Professional Corporation
• Halo Clinical Lab Inc

• Psychiatric/Mental Health Nurse Practitioner in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.