Individual provider Active NPI

Benedict Lagasca, PTA

  • Physical Therapy Assistant
  • West Sacramento, CA
National Provider Identifier
1083569743
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
54660 Issued in CA
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

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
54660CAMDPhysical 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.

Verify at the official NPI Registry.