LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC (NPI# 1255675104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255675104 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC |
| Other Organization Name | LAGS SPINE & SPORTSCARE MEDICAL CENTER INC |
| Practice Address |
1000 W Main St Visalia CA 93291-5920 |
| Mailing Address |
135 Carmen Ln Santa Maria CA 93458-7729 |
| Practice Telephone | 5592721295 |
| Practice Fax Number | 5592721295 |
| Mailing Telephone | 8059287361 |
| Mailing Fax Number | 8059285742 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. FRANCIS P LAGATTUTA (PRESIDENT) |
| Authorized Official Telephone | 8059287361 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LAGS SPINE & SPORTSCARE MEDICAL CENTER INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477035400 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 1, Santa Maria, CA 93454-4607 | 2018-09-06 |
| 1417252735 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 592 S 13th St, Grover Beach, CA 93433-3820 | 2011-01-18 |
| 1326123209 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 29 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-10-26 |
| 1134463045 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 5771 N Fresno St, Suite 101, Fresno, CA 93710-6091 | 2012-11-15 |
| 1144525114 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 1223 Higuera St, Suite 203, San Luis Obispo, CA 93401-3145 | 2011-01-21 |
| 1962707935 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 1105 Las Tablas Rd, Suite C, Templeton, CA 93465-9731 | 2011-01-21 |
| 1710063060 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 217 W Central Ave, Suite D, Lompoc, CA 93436-2830 | 2006-10-30 |
| Street Address |
1000 W MAIN ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-5920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814828 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 2350 W Whitendale Ave, Visalia, CA 93277-6136 | 2018-09-10 |
| 1396872107 | Hany Morcos Nasr | Physical Medicine & Rehabilitation | 201 W Noble Ave, Visalia, CA 93277-2631 | 2007-02-28 |
| 1184683252 | Calvon Voong | Physical Medicine & Rehabilitation | 800 W Center Ave, Visalia, CA 93291-6014 | 2006-03-18 |
| 1588659247 | Sanjiv M Kaul | Physical Medicine & Rehabilitation | 840 S Akers St, Visalia, CA 93277-8309 | 2005-09-19 |
| 1770039703 | Kaweah Rehab Group Inc | Physical Medicine & Rehabilitation | 840 S Akers St, Visalia, CA 93277-8309 | 2016-08-30 |
| 1487792644 | Michael Wlasichuk | Physical Medicine & Rehabilitation | 100 S Santa Fe Ave, Visalia, CA 93292-6434 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
| 1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
| 1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
| 1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
| 1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
| 1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
| 1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.