LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI# 1346707114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346707114 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. |
| Practice Address |
607 Creston Rd Paso Robles CA 93446-2775 |
| Mailing Address |
218 N I St Lompoc CA 93436-0909 |
| Practice Telephone | 8057367886 |
| Mailing Telephone | 8057367886 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | AMY D'AMATO (CONTRACTING MANAGER) |
| Authorized Official Telephone | 8053643388 |
| 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 |
| 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 |
| 1275090870 | Lags Spine and Sportscare Medical Centers, Inc. | Social Worker | 2651 S C St Ste 200, Oxnard, CA 93033-3560 | 2019-03-01 |
| 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 |
607 CRESTON RD |
| City | PASO ROBLES |
| State | CA |
| Zip Code | 93446-2775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912401241 | Avery Acupuncture & Natural Medicine Inc. | Acupuncturist | 1704 Spring St, Suite 202, Paso Robles, CA 93446 | 2018-03-21 |
| 1326597022 | Jennifer Beck | Nutritionist | 110 Hanson Rd., Paso Robles, CA 93446 | 2016-09-23 |
| 1083063465 | Jennifer Owens | Speech-Language Pathologist | 2445 Elk Point, Paso Robles, CA 93446 | 2016-06-07 |
| 1548668478 | Cherie Lou Fajardo Lamson | Pharmacist | 2305 Theathre Dr, Target Pharmacy, Paso Robles, CA 93446 | 2014-12-09 |
| 1710322292 | Teri M Warkentin | Counselor | 423 Montebello Oaks Dr., Paso Robles, CA 93446 | 2013-05-09 |
| 1396087862 | San Luis Obispo County Drug and Alcohol Services | Clinic/Center | 2545 Spring St, Paso Robles, CA 93446 | 2013-03-22 |
| 1891046173 | Donald L Stanton | Dermatology | 3432 Las Tablas Willow Creek Rd., Paso Robles, CA 93446 | 2012-09-26 |
| 1942559778 | Jeffrey W Akins | Physical Therapist | 1345 Park Street, Paso Robles, CA 93446 | 2012-09-07 |
| 1669749883 | Ami Kendra Manwaring | Social Worker | 311 Sixth Street, Templeton, CA 93446 | 2011-11-17 |
| 1275812695 | Jared C Smith | Marriage & Family Therapist | 800 Niblick Road, Paso Robles, CA 93446 | 2011-08-16 |
| Find all providers in zip 93446 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| 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 | ||||
| City | PASO ROBLES |
| Zip Code | 93446 |
Please comment or provide details below to improve the information on LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC..
| 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.