Organization Active NPI

Professional Sports Physiatrists, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Maria, CA
National Provider Identifier
1134532740
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PROFESSIONAL SPORTS PHYSIATRISTS, S.C.
Practice address
801 E Chapel St
Ste. 1
Santa Maria, CA 93454-4607
Phone
(805) 928-7361
Fax
(805) 928-5742
NPI assigned
Jun 11, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Francis Peter Lagattuta, M.D.NPI 1992799704
Title
Medical Director/Owner
Phone
(805) 928-7361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

801 E Chapel St
Ste. 1
Santa Maria, CA 93454-4607

Mailing address

801 E Chapel St
Ste. 1
Santa Maria, CA 93454-4607
Phone (805) 928-7361

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1134532740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CHAPEL ST",
            "address_2": "STE. 1",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544607",
            "telephone_number": "805-928-7361",
            "fax_number": "805-928-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CHAPEL ST",
            "address_2": "STE. 1",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544607",
            "telephone_number": "805-928-7361",
            "fax_number": "805-928-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPORTS PHYSIATRISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "LAGATTUTA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "805-928-7361",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.