Active NPI
Stanley Lumban Tobing, FNP
- Family Nurse Practitioner
- Loma Linda, CA
National Provider Identifier
1578070850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 397436
- Practice address
- 25612 Barton Rd # 179
Loma Linda, CA 92354-3110 - Phone
- (909) 522-7514
- NPI assigned
- Jan 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 397436 | CA | Primary |
Addresses
Primary practice location
25612 Barton Rd # 179
Loma Linda, CA 92354-3110
Mailing address
25612 Barton Rd # 179
Loma Linda, CA 92354-3110
Phone (909) 522-7514
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 397436 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Single Specialty | Current | Accepting new patients |
| Department of State Hospitals | Single Specialty | Current | Accepting new patients |
| Department of State Hospitals | Single Specialty | Current | Accepting new patients |
Locations
3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Organizations & group practices 3
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": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1578070850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25612 BARTON RD # 179",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543110",
"telephone_number": "909-522-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25612 BARTON RD # 179",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543110",
"telephone_number": "909-522-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBING",
"first_name": "STANLEY",
"middle_name": "LUMBAN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "397436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.