LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC (NPI# 1346570074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346570074 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC |
| Other Organization Name | LAGS WELLNESS & DIAGNOSTIC CENTER |
| Practice Address |
201 N College Dr Suite 101 Santa Maria CA 93454-4614 |
| Practice Telephone | 8059259581 |
| Practice Fax Number | 8059255625 |
| Mailing Telephone | 8059259581 |
| Mailing Fax Number | 8059255625 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | FRANCIS P LAGATTUTA (PRESIDENT) |
| Authorized Official Telephone | 8059259581 |
| 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 |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE CORPORATION NUMBER | C2476390 | 01 |
| CA | AETNA HEALTH -GROUP PROVIDER NUMBER | 9538454 | 01 |
| CA | BLUESHIELD OF CA GROUP PROVIDER NUMBER | ZZZ58838Y | 01 |
| Other Name | Type Code |
|---|---|
| Lags Wellness & Diagnostic Center | Doing Business As Name - Organization |
| Street Address |
201 N COLLEGE DR SUITE 101 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467260 | Margaret E. Elfering | Orthopaedic Surgery | 201 N College Dr, Suite 101, Santa Maria, CA 93454-4614 | 2005-12-07 |
| 1649644220 | Jessica Pham | Occupational Therapist | 201 N College Dr, Suite203, Santa Maria, CA 93454-4614 | 2015-11-19 |
| 1649658204 | Hamlet Karapetian Dental Corp. | Dentist | 201 N College Dr, Suite 102, Santa Maria, CA 93454 | 2015-05-14 |
| 1912321431 | Beck and Cale Physical Therapy of Santa Maria | Clinic/Center | 201 N College Dr, Suite 203, Santa Maria, CA 93454-4614 | 2014-02-05 |
| 1174875793 | Jason C Williford | Physician Assistant | 201 N College Dr, Suite 101, Santa Maria, CA 93454-4614 | 2012-10-05 |
| 1528322369 | Noelle Brianna Connor | Specialist | 201 N College Dr, Ste. 203, Santa Maria, CA 93454-4614 | 2012-06-26 |
| 1356621536 | Kenneth Daniel Channer | Specialist | 201 N College Dr, Ste. 203, Santa Maria, CA 93454-4614 | 2011-08-19 |
| 1326202011 | Coastal Hand and Occupational Therapy | Contractor | 201 N College Dr, Suite 203, Santa Maria, CA 93454-4614 | 2008-07-11 |
| 1427242676 | Anthony Pitrowski | Dentist | 201 N College Dr, 202, Santa Maria, CA 93454-4614 | 2007-08-30 |
| 1336288422 | Epi, A Medical Group, Inc. | Orthopaedic Surgery | 201 N College Dr, Suite 101, Santa Maria, CA 93454-4614 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1477035400 | Lags Spine & Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 1, Santa Maria, CA 93454-4607 | 2018-09-06 |
| 1790267730 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 2, Santa Maria, CA 93454-4607 | 2018-09-06 |
| 1427530112 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 201 N College Dr Ste 101, Santa Maria, CA 93454-4614 | 2018-08-30 |
| 1447244256 | Lags Spine and Sportscare Medical Centers Inc | Physical Medicine & Rehabilitation | 801 E Chapel St, Ste. 1, Santa Maria, CA 93454-4607 | 2005-09-07 |
| 1134532740 | Professional Sports Physiatrists, S.c. | Physical Medicine & Rehabilitation | 801 E Chapel St, Ste. 1, Santa Maria, CA 93454-4607 | 2014-06-11 |
| 1659691897 | Kendra Brown-walker | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2010-06-10 |
| 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 |
| 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 | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.