Gregory Spencer Mynko, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G74144 Issued in CA

Practice address

32475 Oak Knoll LN
Lake Elsinore, CA 92530-8324

Phone

(951) 609-5028

Fax

(951) 678-4287

NPI assigned

Aug 3, 2006

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Family Practice

Education

Northeastern Ohio University College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HD Physical Medicine a Professional Medical CorporationGroup PAC ID 3678974243, 10 clinicians

American Current Care of California a Medical CorporationGroup PAC ID 5799854303, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment Care Compare group NPD
• HD Physical Medicine, a Professional Medical Corporation

  dba Dba: Stine Chiropractic

  • Chiropractor
  • Victorville, CA
  • NPI 1982633863
  Medicare reassignment Care Compare group
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • South San Francisco, CA
  • NPI 1396294682
  NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD
• Associated Physicians Inc.

  • Chiropractor
  • Hemet, CA
  • NPI 1003005489
  NPD (past)
• Valley Radiology Medical Group

  • Diagnostic Radiology Physician
  • Ontario, CA
  • NPI 1740236231
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1225046568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32475 OAK KNOLL LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925308324",
            "telephone_number": "951-609-5028",
            "fax_number": "951-678-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32475 OAK KNOLL LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925308324",
            "telephone_number": "951-609-5028",
            "fax_number": "951-678-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNKO",
        "first_name": "GREGORY",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G 74144",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G74144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE MEDICAL LICENSE",
            "identifier": "G 74144",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Wanjiku Murungu, NURSE
• Nichole Mushaney, CMT
• Margaret Ngendo Mwangi, RN
• Monica Wairimu Mwaniki, RN
• Richard Glenn Myatt, D.D.S.
• David Sei Nakai, R.P.T.
• Daniel Sang Nam, L.AC., PHD.
• Joanne Yeun Nam, RPH
• Lena Nam
• Kalia Calix Narciso

• General Practice Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.