LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI# 1962985630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962985630 |
| Entity Type | Organization |
| Organization Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. |
| Practice Address |
3967 S Mccarran Blvd Reno NV 89502-7510 |
| Mailing Address |
218 N I St Lompoc CA 93436-0909 |
| Practice Telephone | 7753416015 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | FRANCIS P LAGATTUTA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8059259581 |
| 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 |
| 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 |
| 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 |
3967 S MCCARRAN BLVD |
| City | RENO |
| State | NV |
| Zip Code | 89502-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548335110 | South Mccarran Urgent Care | Family Medicine | 3967 S Mccarran Blvd, Reno, NV 89502-7510 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| 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 |
|---|---|---|---|---|
| 1760007629 | Jonathan D Burns | Physical Medicine & Rehabilitation | 9830 Copenhagen Way, Reno, NV 89521-8018 | 2020-06-16 |
| 1154421840 | Steve Brown Sierra Nevada Rehab Ltd | Physical Medicine & Rehabilitation | 1560 Fescue Ct, Reno, NV 89509 | 2006-09-23 |
| 1417254525 | George Mars M.d. Ltd | Physical Medicine & Rehabilitation | 645 Sierra Rose Dr, Suite 202, Reno, NV 89511-2366 | 2011-02-25 |
| 1255596722 | Jeffery Johnson Muir | Physical Medicine & Rehabilitation | 343 Elm St Ste 202, Reno, NV 89503-4538 | 2008-07-24 |
| 1073613766 | Stephen Brown | Physical Medicine & Rehabilitation | 1560 Fescue Ct, Reno, NV 89509 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164721627 | Peter Shao You Su | Physical Medicine & Rehabilitation | 6950 W Desert Inn Rd Ste 110, Las Vegas, NV 89117-3171 | 2011-03-23 |
| 1023219508 | Integrated Pain Relief, LLC | Physical Medicine & Rehabilitation | 4161 S Eastern Ave Ste A9, Las Vegas, NV 89119-5425 | 2007-05-30 |
| 1558382440 | Gail P Krivan | Physical Medicine & Rehabilitation | 707 N Minnesota St Ste B, Carson City, NV 89703 | 2006-07-23 |
| 1578508065 | Mountain Rehabilitation Services Poindexter & Associates Ltd | Physical Medicine & Rehabilitation | 2641 Box Canyon Dr, Suite B, Las Vegas, NV 89128-0419 | 2006-06-18 |
| 1477504157 | Steven A Holper | Physical Medicine & Rehabilitation | 3233 W Charleston Blvd Ste 202, Las Vegas, NV 89102-1999 | 2006-05-15 |
| 1386622462 | Scott Matthew Martin | Physical Medicine & Rehabilitation | 2705 W Horizon Ridge Pkwy, Henderson, NV 89052-4434 | 2006-01-09 |
| 1558369181 | Minh H Nguyen | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2005-07-08 |
| 1346868387 | Telehealth Clinical Evals, LLC | Physical Medicine & Rehabilitation | 9505 Hillwood Dr, Las Vegas, NV 89134-0506 | 2020-07-07 |
| 1982239307 | Las Vegas Comprehensive Pain Management Center PC | Physical Medicine & Rehabilitation | 1850 Whitney Mesa Dr Ste 180, Henderson, NV 89014-2093 | 2020-03-05 |
| 1952829764 | Physical Medicine and Pain Management of Nevada, LLC | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134 | 2017-08-31 |
| 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.