LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC (NPI# 1710063060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710063060 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC |
| Other Organization Name | LAGS SPINE AND SPORTS CARE MEDICAL CENTER INC |
| Practice Address |
217 W Central Ave Suite D Lompoc CA 93436-2830 |
| Mailing Address |
135 Carmen Ln Santa Maria CA 93458-7729 |
| Practice Telephone | 8057367886 |
| Practice Fax Number | 8057367867 |
| Mailing Telephone | 8059287361 |
| Mailing Fax Number | 8059285742 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | FRANCIS P LAGATTUTA (PRESIDENT) |
| Authorized Official Telephone | 8057367886 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AETNA PIN | 726464 | 01 |
| USDL | 106049802 | 01 | |
| CA | BLUE SHIELD OF CA | ZZZ09772Z | 01 |
| Other Name | Type Code |
|---|---|
| Lags Spine and Sports Care 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 |
| 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 |
| Street Address |
217 W CENTRAL AVE SUITE D |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407801038 | Life Chiropractic | Chiropractor | 217 W Central Ave, Suite A, Lompoc, CA 93436-2830 | 2006-05-23 |
| 1336498666 | Vanessa L. Demoss | Nurse Practitioner | 217 W Central Ave, Suite G, Lompoc, CA 93436-2830 | 2012-08-31 |
| 1316133358 | Dale Ekstrum Md Inc | Family Medicine | 217 W Central Ave, Suite G, Lompoc, CA 93436-2830 | 2007-09-24 |
| 1407970791 | Carnahan Therapy The Work Center, Inc. | Occupational Therapist | 217 W Central Ave, Lompoc, CA 93436-2830 | 2007-03-19 |
| 1902942436 | Christopher George Czajka | Chiropractor | 217 W Central Ave, Suite A, Lompoc, CA 93436-2830 | 2007-01-30 |
| 1518073857 | Anne E Little | Internal Medicine | 217 W Central Ave, Suite G, Lompoc, CA 93436-2830 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| 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 |
|---|---|---|---|---|
| 1013491521 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 218 N I St, Lompoc, CA 93436-0909 | 2018-09-20 |
| 1588147243 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 218 N I St, Lompoc, CA 93436-0909 | 2018-09-10 |
| 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.