Individual provider Active NPI

Cherrylee Ventura Lumba

  • Family Nurse Practitioner
  • Hesperia, CA
National Provider Identifier
1396505202
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029773 Issued in CA
Practice address
11776 Mariposa Rd Ste 103
Hesperia, CA 92345-1622
Phone
(760) 956-2462
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029773 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95029773 CA
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95029773 CA Primary

Addresses

Primary practice location

11776 Mariposa Rd Ste 103
Hesperia, CA 92345-1622

Mailing address

7891 Lita Corte
Rancho Cucamonga, CA 91730-1925
Phone (818) 645-5226

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250305001451 CA Practitioner - Nurse Practitioner 0547781601 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jun R. Chiong, MD, MPH, Inc.Group PAC ID 5597925974, 12 clinicians

Practice addresses (Care Compare)

1605 Valle del Sol
Redlands, CA 92373-7438

414 Tennessee St
Suite XX
Redlands, CA 92373-8163
Phone (909) 475-7371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95029773CAMDPsychiatric/Mental Health Nurse Practitioner
NP95029773CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saab Progressive Medicine a Professional Medical Corporation Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Jun R. Chiong, MD, MPH, Inc. Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Medex Specialty Network, Inc. Single Specialty CurrentSince Jun 9, 2025 Accepting new patients

Locations

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

461 Tennessee St
Ste C
Redlands, CA 92373
Phone (909) 475-7371

414 Tennessee St
Ste Xx
Redlands, CA 92373
Phone (909) 475-7371

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Interoperability endpoints

  • Direct secure messaging: cherrylee.ventura.lumba.1@3574.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3574/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1396505202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 LITA CORTE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301925",
            "telephone_number": "818-645-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11776 MARIPOSA RD STE 103",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451622",
            "telephone_number": "760-956-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBA",
        "first_name": "CHERRYLEE",
        "middle_name": "VENTURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029773",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95029773",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.