LAGS SPINE AND SPORTSCARE MEDICAL CENTER, INC. (NPI# 1912185166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912185166 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTER, INC. |
| Practice Address |
354 S Halcyon Rd Suite B Arroyo Grande CA 93420 |
| Mailing Address |
135 Carmen Ln Santa Maria CA 93458-7729 |
| Practice Telephone | 8059287361 |
| Practice Fax Number | 8059285742 |
| Mailing Telephone | 8059287361 |
| Mailing Fax Number | 8059285742 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | FRANCIS P. LAGATTUTA (PRESIDENT) |
| Authorized Official Telephone | 8059287361 |
| 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 |
E057735 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | E057735 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 592 S 13th St, Grover Beach, CA 934333820 | 8054736510 |
| Street Address |
354 S HALCYON RD SUITE B |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540322 | County of San Luis Obispo | Clinic/Center | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2006-12-05 |
| 1952951527 | Jessica Ramos | Marriage & Family Therapist | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2019-09-16 |
| 1033678818 | Tania Resendiz | Counselor | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2019-03-19 |
| 1144687294 | Lesley Andrews-wise | Counselor | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2016-01-20 |
| 1669840393 | Joy Goldenberg | Counselor | 354 S Halcyon Rd, Arroyo Grande, CA 93420 | 2015-09-11 |
| 1346513306 | Kristel Rubio | Marriage & Family Therapist | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2012-02-21 |
| 1447584974 | Kristy Ann Barrette | Marriage & Family Therapist | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2009-09-30 |
| 1104038207 | Tod C Thoring | Naturopath | 354 S Halcyon Rd, Ste. A, Arroyo Grande, CA 93420-3876 | 2007-05-03 |
| 1649390741 | Diana Christina Klassen | Marriage & Family Therapist | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
| Find all providers in zip 93420 | ||||
| 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 |
|---|---|---|---|---|
| 1235129255 | Central Coast Spine and Pain Management Center, Inc. | Physical Medicine & Rehabilitation | 310 S Halcyon Rd, Suite 106, Arroyo Grande, CA 93420-3872 | 2005-10-21 |
| 1518957539 | Andrew G. Monroy | Physical Medicine & Rehabilitation | 310 S Halcyon Rd, Suite 106, Arroyo Grande, CA 93420-3872 | 2005-10-21 |
| 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 | ARROYO GRANDE |
| Zip Code | 93420 |
Please comment or provide details below to improve the information on LAGS SPINE AND SPORTSCARE MEDICAL CENTER, 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.