LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC (NPI# 1417252735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417252735 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC |
| Other Organization Name | LAGS SPINE AND SPORTS CARE MEDICAL CENTER INC |
| Practice Address |
592 S 13th St Grover Beach CA 93433-3820 |
| Mailing Address |
135 Carmen Ln Santa Maria CA 93458-7729 |
| Practice Telephone | 8059287361 |
| Mailing Telephone | 8059287361 |
| Mailing Fax Number | 8059285742 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | FRANCIS P LAGATTUTA (PRESIDENT) |
| Authorized Official Telephone | 8059287361 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
G84334 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lags Spine and Sports Care Medical Center Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 880 Oak Park Blvd Ste 202, Arroyo Grande, CA 934201821 | 8054736510 | 8054736516 |
| 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 |
| 1326123209 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 29 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-10-26 |
| 1255675104 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 1000 W Main St, Visalia, CA 93291-5920 | 2012-11-15 |
| 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 |
592 S 13TH ST |
| City | GROVER BEACH |
| State | CA |
| Zip Code | 93433-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316411549 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 592 S 13th St, Grover Beach, CA 93433-3820 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382783 | Melissa Ann Richardson | Registered Nurse | 286 S. 16th Street, Grover Beach, CA 93433 | 2017-01-10 |
| 1447637475 | Katherine Clair Verwest | Counselor | 1428 Brighton Ave., Grover Beach, CA 93433 | 2015-04-28 |
| 1033552997 | Randall Gaynor Rodman | Dentist | 200 South 13th Street, No 109, Grover Beach, CA 93433 | 2013-04-10 |
| 1154685352 | Allyson N Thompson-knox | Marriage & Family Therapist | 1125 West Grand Avenue, Suite D, Grover Beach, CA 93433 | 2012-07-02 |
| 1851546436 | Jay Alan Turner | Counselor | 1206 Capitola Street, Grover Beach, CA 93433 | 2008-11-24 |
| 1407043862 | Ginette Gallagher II | Public Health or Welfare | 286 So. 16th St, San Luis Obispo County Health Department, Grover Beach, CA 93433 | 2007-10-01 |
| 1700099090 | Cynthia Kae Nelson | Counselor | 767 Ramona Ave, Grover Beach, CA 93433 | 2007-05-07 |
| 1861614158 | Steven Hideki Yoneda | Specialist/Technologist | 1660 Manhattan Avenue, Grover Beach, CA 93433 | 2007-05-03 |
| 1265557136 | Jenna Eyton Wolfson | Social Worker | 901 Ramona Ave # I, Grover Beach, CA 93433 | 2007-03-20 |
| 1922169655 | Donna Maurine Van Pelt | Marriage & Family Therapist | 150b S 6th St, Grover Beach, CA 93433 | 2006-12-13 |
| Find all providers in zip 93433 | ||||
| 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 |
|---|---|---|---|---|
| 1891256293 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 200 S 13th St, Grover Beach, CA 93433-3302 | 2019-03-28 |
| 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 | ||||
| City | GROVER BEACH |
| Zip Code | 93433 |
Please comment or provide details below to improve the information on LAGS SPINE & 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.