Jason Cord Williford (NPI# 1174875793, PAC ID# 9234389222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174875793 |
| PAC ID by PECOS | 9234389222 |
| Professional Enrollment ID | I20140327000074 |
| Full Name | Jason Cord Williford |
| Organization Legal Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| Address |
218 N I St Lompoc CA 93436-0909 |
| Phone Number | 8057367886 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426028069 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 218 N I St, Lompoc, CA 93436-0909 | 8057367886 | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| 801 E Chapel St, Santa Maria, CA 93454-4607 | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| Organization Legal Name | LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael They | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 3550 Q St, Bakersfield, CA 93301-1645 |
| Manli Huang | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 945 Blanco Cir, Suite A, Salinas, CA 93901-4421 |
| Analene Z Cesar | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 510 W 25th St, Merced, CA 95340-2802 |
| Brianna L Hoffmann | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 169 Ne 102nd Ave, Portland, OR 97220-4169 |
| Femi B Obanor | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 349 E Bullard Ave, Suite 105, Fresno, CA 93710-5298 |
| Krisztina Herrera | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 4080 Loma Vista Rd, Suite F, Ventura, CA 93003-1811 |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kendra N Brown Walker | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 2651 S C St, Suite 200, Oxnard, CA 93033-3560 |
| Heliodoro M Magana | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Olivia A Seibenick | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 2362 N Oxnard Blvd, Oxnard, CA 93036-2053 |
| Street Address |
218 N I ST |
| City | LOMPOC |
| State | CA |
| Zip | 93436-0909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heliodoro M Magana | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Igor Galan | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Laura L Megorden | Podiatry | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Latavia S Esters | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Michael A Hoosier | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Janice L Anderson | Clinical Social Worker | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Hung K Ngo | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard I Weinstock | Otolaryngology | 3839 Constellation Rd, Suite A, Lompoc, CA 93436-0432 | |
| Charles E Smith | Psychologist, Clinical | 3839 Constellation Rd, Suite C, Lompoc, CA 93436-0434 | |
| Jeffrey L Danhauer | Qualified Audiologist | 3839 Constellation Rd, Suite D, Lompoc, CA 93436-0435 | |
| Danielle T Wiswall | Physical Therapy | 177 Vulcan Dr, Lompoc, CA 93436-1406 | |
| Samuel B Kieley | Urology | Urology Associates of The Central Coast | 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-2500 |
| Michael Anthony Avallone | Urology | Urology Associates of The Central Coast | 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-2500 |
| Philip Ente | Neurology | 1111 E Ocean Ave, Suite 4a, Lompoc, CA 93436-2500 | |
| Thomas A Vanmeter | Dermatology | 1111 E Ocean Ave, Suite 10, Lompoc, CA 93436-2501 | |
| Daniel P Shepard | Ophthalmology | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| Timothy E Nelson | Optometry | Elite Eyecare Medical Group A Medical Corporation | 425 W Central Ave, Suite 102, Lompoc, CA 93436-2806 |
| Find all physicians in zip 93436 | |||
| City | LOMPOC |
| Zip Code | 93436 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOMPOC + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jason Cord Williford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.