Organization Active NPI

Lags Spine & Sportscare Medical Centers Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lompoc, CA
National Provider Identifier
1710063060
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC
Doing business as
Lags Spine and Sports Care Medical Center Inc
Practice address
217 W Central Ave
Suite D
Lompoc, CA 93436-2830
Phone
(805) 736-7886
Fax
(805) 736-7867
NPI assigned
Oct 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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) 736-7886

Specialties & licenses 1

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

Addresses

Primary practice location

217 W Central Ave
Suite D
Lompoc, CA 93436-2830

Mailing address

135 Carmen LN
Santa Maria, CA 93458-7729
Phone (805) 928-7361

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ09772ZOtherCABLUE SHIELD OF CA
106049802OtherUSDL
726464OtherCAAETNA PIN

Other names 1

  • Lags Spine and Sports Care Medical Center Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1710063060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587729",
            "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": "217 W CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934362830",
            "telephone_number": "805-736-7886",
            "fax_number": "805-736-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGS SPINE & SPORTSCARE MEDICAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "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": "805-736-7886",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ09772Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDL",
            "identifier": "106049802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "726464",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lags Spine and Sports Care Medical Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • 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.