NPIMap

Organization Active NPI

Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Stockton, CA
National Provider Identifier
1043799018
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Practice address
4505 Precissi LN Ste a
Stockton, CA 95207-6240
Phone
(209) 425-3815
NPI assigned
Aug 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Showers
Title
Medical Billing Specialist Lead
Phone
(805) 928-7361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

4505 Precissi LN Ste a
Stockton, CA 95207-6240

Mailing address

218 North I Street
Lompoc, CA 93436
Phone (209) 425-3815

National Provider Directory

National Provider Directory
Tax ID family
Lags Spine and Sportscare Medical Centers Inc52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

4505 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 425-3815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1043799018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 NORTH I STREET",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "209-425-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 PRECISSI LN STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076240",
            "telephone_number": "209-425-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "SHOWERS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST LEAD",
        "authorized_official_telephone_number": "805-928-7361"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.