Lancaster Sports Medicine

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LANCASTER SPORTS MEDICINE

Practice address

412 W Avenue J Ste E
Lancaster, CA 93534-3600

Phone

(661) 945-0884

NPI assigned

Jun 26, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond Gray

Title

President

Phone

(949) 770-6022

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1144257429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181680",
            "telephone_number": "949-770-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W AVENUE J STE E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343600",
            "telephone_number": "661-945-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-770-6022"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lancaster OB Hospitalists
• Lancaster Pain Clinic
• Lancaster Rheumatology and Osteoporosis Center Inc.
• Lancaster School District
• Lancaster SNF Healthcare, LLC (Mirage Post Acute)
• Lancaster State Prison
• Lancaster Surgery Center LLC
• Lancaster Urgent Care Inc
• Gennady Landa, DDS, MD
• Renelyn Landicho

• Occupational Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.