Synovation Skilled Nursing Pain Care a Medical Group PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SYNOVATION SKILLED NURSING PAIN CARE A MEDICAL GROUP PC

Practice address

10565 Civic Center Dr Ste 250
Rancho Cucamonga, CA 91730-3854

Phone

(909) 493-3800

NPI assigned

Mar 19, 2025

Organization subpart

No

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

Authorized official

Name

Clayton A Varga, MDNPI 1629060694

Title

Ceo

Phone

(305) 428-7730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc E. Lynch, D.O.

  • Interventional Pain Medicine Physician
  • Chino, CA
  • NPI 1760488621
  Medicare reassignment NPD
• Henry Able Richardson, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Diego, CA
  • NPI 1407052459
  Medicare reassignment NPD
• Clayton Alexander Varga, MD

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1629060694
  NPD (past) Authorized official

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1487454278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "909-493-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "909-493-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNOVATION SKILLED NURSING PAIN CARE A MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-428-7730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deimzon Sy
• Katie Ann Sy
• Lama Syada, PHARM.D.
• Sylvian Deigh Licensed Clinical Social Worker Inc.
• Symmetry Physical Therapy Inc
• Ashly Sypherd
• Tyler J Syrett
• Minhdan Thuy Ta, PH.D.
• Viet D Ta, MD
• Senia Elizabeth Tabora

• Pain Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.