LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.


Address: 2811 College Ave, Unit A, Berkeley, CA 94705-2167
Phone: 8059287361

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI# 1184027856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184027856
Entity Type Organization
Organization Name LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Practice Address 2811 College Ave
Unit A
Berkeley
CA 94705-2167
Mailing Address 801 E Chapel St
Ste. 1
Santa Maria
CA 93454-4607
Practice Telephone 8059287361
Mailing Telephone 8059287361
Mailing Fax Number 8059285742
Enumeration Date 2014-10-08
Last Update Date 2015-03-16
Authorized Official Name FRANCIS P LAGATTUTA (MEDICAL DIRECTOR/OWNER)
Authorized Official Telephone 8059287361
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 2811 COLLEGE AVE
UNIT A
City BERKELEY
State CA
Zip Code 94705-2167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083862775 Rose Anne Snyder Psychologist 2811 College Ave, Berkeley, CA 94705-2167 2008-09-05
1649603218 Marni Levy Marriage & Family Therapist 2811 College Ave, Berkeley, CA 94705 2013-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447882956 Diane Lomas Wyatt Marriage & Family Therapist 2340 Ward St. Ste 104, Berkeley, CA 94705 2020-02-12
1700371275 Icecreamwala Dermatology Inc Dermatology 2435 Webster St Ste 101, Berkeley, CA 94705 2018-06-27
1396253803 David R Shaddock Marriage & Family Therapist 3030 Ashby Avenue, # 105, Berkeley, CA 94705 2018-01-18
1821504432 Allegra Tringali Physical Therapist 2450 Ashby Ave Fl 6, Berkeley, CA 94705 2017-12-19
1659898740 Hunter Brown Student in an Organized Health Care Education/Training Program Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 2017-08-29
1588014534 Heather Valdez Social Worker 2185 Ashby Ave, Berkeley, CA 94705 2016-06-20
1215350145 S.e.e.d.s. (social and Emotional Education Development and Support) Community/Behavioral Health 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 2014-01-29
1144580960 Benjamin Tucker Counselor 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 2012-05-26
1881966141 Jennifer Cowherd Behavioral Analyst 2201 Woolsey St, Berkeley, CA 94705 2012-02-02
1518255892 Erika D Huguenard Counselor 2811a College Avenue, Berkeley, CA 94705 2011-07-20
Find all providers in zip 94705

Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871576603 Janet Phyllis Lord Physical Medicine & Rehabilitation 3031 Telegraph Ave, Ste 241, Berkeley, CA 94705-2051 2005-11-25

Providers in the same taxonomy and state

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

Competitor

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City BERKELEY
Zip Code 94705

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Dataset Information

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.

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