Active NPI
Cherrylee Ventura Lumba
- Family Nurse Practitioner
- Hesperia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95029773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95029773 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95029773 | CA | |
| Family Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95029773 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| NP95029773 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saab Progressive Medicine a Professional Medical Corporation | Single Specialty | Current | Accepting new patients |
| Jun R. Chiong, MD, MPH, Inc. | Single Specialty | Current | Accepting new patients |
| Medex Specialty Network, Inc. | Single Specialty | Current | 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
- cherrylee.ventura.lumba.1@3574.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Redlands, CA
- NPI 1093099046
Single Specialty
-
- Cardiovascular Disease Physician
- Redlands, CA
- NPI 1659134252
Single Specialty
-
- Internal Medicine Physician
- Laguna Hills, CA
- NPI 1508567900
Single Specialty
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1700523362
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1053150698
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.