Lags Spine & Sportscare Central Coast Medical Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC

Practice address

201 N College Dr
Suite 101
Santa Maria, CA 93454-4614

Phone

(805) 925-9581

Fax

(805) 925-5625

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Authorized official

Name

Francis P Lagattuta, MD

Title

President

Phone

(805) 925-9581

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lags Wellness & Diagnostic Center Doing business as

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1346570074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR",
            "address_2": "SUITE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-925-9581",
            "fax_number": "805-925-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR",
            "address_2": "SUITE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-925-9581",
            "fax_number": "805-925-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "LAGATTUTA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-925-9581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORPORATION NUMBER",
            "identifier": "C2476390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF CA GROUP PROVIDER NUMBER",
            "identifier": "ZZZ58838Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH -GROUP PROVIDER NUMBER",
            "identifier": "9538454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lags Wellness & Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pierre Georges Labrecque, M.D.
• Timothy Lawrence Lacefield, L.P.T.
• Francis P Lagattuta, MD
• Norma Lagattuta
• Lags Recovery Centers, Inc.
• Lags Spine & Sportscare Medical Centers Inc
• Lags Spine and Sportscare Medical Centers Inc
• Lags Spine and Sportscare Medical Centers, Inc.
• Lags Spine and Sportscare Medical Centers, Inc.
• Lags Spine and Sportscare Medical Centers, Inc.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.