Active NPI
Benedict Lagasca, PTA
- Physical Therapy Assistant
- West Sacramento, CA
National Provider Identifier
1083569743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 54660
- Practice address
- 3410 Industrial Blvd Ste 102
West Sacramento, CA 95691-5005 - Phone
- (916) 669-9038
- Fax
- (916) 529-4161
- NPI assigned
- Feb 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 54660 | CA | Primary |
Addresses
Primary practice location
3410 Industrial Blvd Ste 102
West Sacramento, CA 95691-5005
Mailing address
5220 Fitzwilliam Way
Sacramento, CA 95823-4122
Phone (916) 669-9038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54660 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1083569743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 FITZWILLIAM WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958234122",
"telephone_number": "916-669-9038",
"fax_number": "916-529-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 INDUSTRIAL BLVD STE 102",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956915005",
"telephone_number": "916-669-9038",
"fax_number": "916-529-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGASCA",
"first_name": "BENEDICT",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "54660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.