Active NPI
Lags Spine & Sportscare Medical Centers Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lompoc, CA
National Provider Identifier
1710063060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ09772Z | Other | CA | BLUE SHIELD OF CA |
| 106049802 | Other | USDL | |
| 726464 | Other | CA | AETNA PIN |
Other names 1
- Lags Spine and Sports Care Medical Center Inc
National Provider Directory
National Provider DirectoryNPI 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.