LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI# 1659845881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659845881 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. |
| Practice Address |
945 Blanco Cir Ste A Salinas CA 93901-4421 |
| Mailing Address |
218 N I St Lompoc CA 93436-0909 |
| Practice Telephone | 8319988123 |
| Practice Fax Number | 8319988136 |
| Mailing Telephone | 8057367886 |
| Mailing Fax Number | 8057367867 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| 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 | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 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 |
945 BLANCO CIR STE A |
| City | SALINAS |
| State | CA |
| Zip Code | 93901-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861995771 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 945 Blanco Cir Ste A, Salinas, CA 93901-4421 | 2018-03-16 |
| 1053803411 | Manli Huang | Nurse Practitioner | 945 Blanco Cir Ste A, Salinas, CA 93901-4421 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1881222198 | Megan Emery | Occupational Therapist | Monterey County Office of Education, 901 Blanco Circle, Salinas, CA 93901 | 2020-03-31 |
| 1083171433 | Leeann Rose Gutierrez | Behavior Technician | 505 E Romie Lane, Suite E, Salinas, CA 93901 | 2019-02-21 |
| 1043784853 | Jeanne Miranda Gapac Brady | Pharmacy | 420 East Romie Lane, Salinas, CA 93901 | 2019-01-15 |
| 1164994422 | Epigmenio Vazquez | Behavior Technician | 505 E Romie Lane, Salinas, CA 93901 | 2018-12-27 |
| 1043709751 | Stephanie Gailo | Registered Nurse | Dept of Social Services, Family & Children's Services., 1000 S. Main St. Ste 205, Salinas, CA 93901 | 2018-05-08 |
| 1912405846 | Elizabeth Zaragoza | Counselor | 130 W. Gabilan Street, Salinas, CA 93901 | 2018-01-25 |
| 1144749540 | Shelby Lynn Hyosaka | Registered Nurse | 333 Abbott St. - United Ag Health and Wellness Center, Ste. A, Salinas, CA 93901 | 2017-09-17 |
| 1275058075 | Marisol Jacobo | Social Worker | 41 E San Luis St., Salinas, CA 93901 | 2017-08-14 |
| 1225484959 | Kristen Ryan Russell | Occupational Therapist | Windsor Gardens Center of Rehabilitation, 637 E Romie Ln, Salinas, CA 93901 | 2016-05-12 |
| Find all providers in zip 93901 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319560 | Blossoming Wellbeing Telepsychiatry | Psychiatry & Neurology | 5455 8th St Unit 81, Carpinteria, CA 93013-2433 | 2020-09-01 |
| 1962028936 | Sal Psychiatry Services | Psychiatry & Neurology | 13132 Studebaker Rd Ste 7, Norwalk, CA 90650-2562 | 2020-06-24 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1609431014 | Vaya Addiction Services | Psychiatry & Neurology | 945 University Ave Ste 101, Sacramento, CA 95825-6712 | 2019-05-01 |
| 1174081327 | Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. | Psychiatry & Neurology | 6801 Park Ter # 530b, Los Angeles, CA 90045-1543 | 2019-03-06 |
| 1104330570 | Integrated Psychiatry, Inc. | Psychiatry & Neurology | 25000 Avenue Stanford Ste 173, Valencia, CA 91355-4596 | 2017-11-21 |
| 1740689694 | Mind & Body Treatment and Research Institute, PC | Psychiatry & Neurology | 5700 Division St, 200, Riverside, CA 92506-3257 | 2014-08-16 |
| 1619311206 | Margaret Barnett Yates | Psychiatry & Neurology | 13847 W Sunset Blvd, Pacific Palisades, CA 90272-4023 | 2013-04-25 |
| 1750645743 | Stefani Lafrenierre | Psychiatry & Neurology | 215 S Hickory St Ste 114, Escondido, CA 92025-4360 | 2012-06-25 |
| 1083977201 | Archangel De Leon | Psychiatry & Neurology | 7466 Sun Castle Ln, Sacramento, CA 95823-6734 | 2012-06-21 |
| Find all providers with the same taxonomy | ||||
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.