LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI# 1275090870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275090870 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. |
| Practice Address |
2651 S C St Ste 200 Oxnard CA 93033-3560 |
| Mailing Address |
218 N I St Lompoc CA 93436-0909 |
| Practice Telephone | 8059836713 |
| Mailing Telephone | 8057367886 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | AMY D'AMATO (CONTRACTS MANAGER) |
| Authorized Official Telephone | 8052643388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Lags Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 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 |
| 1346707114 | Lags Spine and Sportscare Medical Centers, Inc. | Social Worker | 607 Creston Rd, Paso Robles, CA 93446-2775 | 2019-02-27 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1700357068 | Lags Spine and Sportscare Medical Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3550 Q St Ste 105, Bakersfield, CA 93301-1645 | 2018-12-16 |
| 1487122339 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 11820 Ne Crestwood Dr Ste 100, Vancouver, WA 98684-5103 | 2018-11-08 |
| 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 |
| 1992288401 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 1050 Las Tablas Rd Ste 16, Templeton, CA 93465-9480 | 2018-09-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC | 218 North I Street, Lompoc, CA 93436 |
| Washington State Corporations | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. | 11820 Ne Crestwood Dr, Vancouver, WA 98684-5102 |
| Street Address |
2651 S C ST STE 200 |
| City | OXNARD |
| State | CA |
| Zip Code | 93033-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462332 | Andy Luu | Physical Therapist | Two Trees 2051 Statham Blvd, Oxnard, CA 93033 | 2019-11-22 |
| 1568004661 | Martha Hughes | Technician | 615 East Juniper St, Oxnard, CA 93033 | 2019-10-10 |
| 1093232985 | Elena Martinez | Student in an Organized Health Care Education/Training Program | 226 E Fir Ave, Oxnard, CA 93033 | 2017-08-23 |
| 1083140248 | Mara Andrea Sibucao | Licensed Vocational Nurse | 4201 Justin Way, Oxnard, CA 93033 | 2017-05-10 |
| 1477915023 | Maria Guadalupe Castro | Counselor | 1710 San Marino St., Oxnard, CA 93033 | 2016-03-23 |
| 1356709760 | Guadalupe Cervantes-ortiz | Marriage & Family Therapist | 401 Mary Herrera Ln. Apt. B, Oxnard, CA 93033 | 2016-02-01 |
| 1457718850 | Jeff Segovia | Community Health Worker | 4651 Telephone Rd, Suite 300, Ventura, CA 93033 | 2016-01-15 |
| 1083079867 | Reynaldo Concepcion | Registered Nurse | 200 Hillmont Avenue, Ventura, CA 93033 | 2015-12-22 |
| 1235548892 | Daisy V Kerr | Counselor | 135 Lark St, Oxnard, CA 93033 | 2014-08-07 |
| 1508187329 | County of Ventura | Clinic/Center | 325 W. Channel Islands Blvd., Oxnard, CA 93033 | 2010-06-16 |
| Find all providers in zip 93033 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417402066 | Aldo Ramirez | Psychologist | 1402 W Juniper St, Oxnard, CA 93033-3321 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293199 | Corinne Guerrero | Psychologist | 4820 Melrose Ave, Oakland, CA 94601-5346 | 2020-10-19 |
| 1326661331 | Dr Susan Shapiro Psychologist, Inc | Psychologist | 1647 S Hayworth Ave, Los Angeles, CA 90035-4513 | 2020-05-26 |
| 1326669011 | Northstar Detox & Rehab Center, LLC | Psychologist | 19500 Winifred St, Tarzana, CA 91356-3815 | 2020-05-04 |
| 1548891443 | Catalyst Recovery LLC | Psychologist | 10250 Constellation Blvd Ste 100, Los Angeles, CA 90067-6272 | 2020-01-29 |
| 1932765336 | Mischka Psychological PC | Psychologist | 4468 Phelan Rd, Phelan, CA 92371-4098 | 2019-05-13 |
| 1851955181 | Matthew Taylor | Psychologist | 27645 E Trail Ridge Way Apt 1007, Moreno Valley, CA 92555-3122 | 2019-04-23 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1639640766 | Lidia Janette Aguilar | Psychologist | 4958 Gabrielieno Ave, Oceanside, CA 92057-4434 | 2018-12-16 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1295253953 | Raphael Gidharry Johnson | Psychologist | 1753 N. Country Ln., Pasadena, CA 91107-1104 | 2017-09-01 |
| 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.