Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Grant Lukomsky, PA-C

Individual provider Physician Assistant · NPI 1669131272

David Grant Lukomsky, PA-C is a Physician Assistant in Fort Bragg, California. Qualified in 2021, 5 years ago. Practices with Adventist Health Mendocino Coast, a 57-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

721 River Dr Ste C
Fort Bragg, CA 95437
Phone: (707) 961-4995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60459 (CA)

Record details

NPI number1669131272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 10, 2021
Last updated in NPPESDecember 10, 2021
Certification dateDecember 6, 2021
Mailing address931 W Great Basin Dr, Meridian, ID 83646-4574

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Adventist Health Mendocino Coast — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Bragg