LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI# 1174084578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174084578 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. |
| Practice Address |
802 Iowa Ave Los Banos CA 93635-3450 |
| Mailing Address |
218 N I St Lompoc CA 93436-0909 |
| Practice Telephone | 8057367886 |
| Mailing Telephone | 8057367886 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | HALLIE MEDINA (CONTRACTING ASSISTANT) |
| Authorized Official Telephone | 6614321451 |
| 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 |
| Other Name | Type Code |
|---|---|
| Lags Medical Center | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
802 IOWA AVE |
| City | LOS BANOS |
| State | CA |
| Zip Code | 93635-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1972072528 | Lara Avedian | Physician Assistant | 520 W. Street, Los Banos, CA 93635 | 2018-11-13 |
| 1871095349 | Amy Villada Cabrera | Behavior Technician | 138 Beajolais Ct, Los Banos, CA 93635 | 2018-03-01 |
| 1699107045 | Sonia Vasconcelos | Licensed Vocational Nurse | 14950 Badger Flat Rd., Los Banos, CA 93635 | 2013-08-07 |
| 1275804981 | West Eye Incorporated | Optometrist | 1030 West I Street, Los Banos, CA 93635 | 2012-01-26 |
| 1932418282 | Aspiranet | Community/Behavioral Health | 285 Mercey Springs Road, Suite E, Los Banos, CA 93635 | 2010-10-05 |
| 1669781241 | Benjamin J. Seaton Dds | Dentist | 816 Second St., Los Banos, CA 93635 | 2010-09-30 |
| 1124291711 | Do and Huh, Dds Inc | Dentist | 1989 East Pacheco Blvd, #j, Los Banos, CA 93635 | 2008-04-04 |
| 1831369057 | A. Lujan Recovery Programs Inc. | Substance Abuse Rehabilitation Facility | 80 G. St. Bld. 3, Suite B, Los Banos, CA 93635 | 2008-03-04 |
| 1184807125 | Oscar F Lopez | Specialist | 1791 Mills Dr, Mobile Massage, Los Banos, CA 93635 | 2007-12-13 |
| Find all providers in zip 93635 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1992288401 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 1050 Las Tablas Rd Ste 16, Templeton, CA 93465-9480 | 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.