Active NPI
Spine and Pain Treatment Medical Center of Santa Maria Inc
- Ambulatory Surgical Clinic/Center
- Santa Maria, CA
National Provider Identifier
1881688554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 050000561
- Legal business name
- SPINE AND PAIN TREATMENT MEDICAL CENTER OF SANTA MARIA INC
- Practice address
- 135 Carmen LN
Santa Maria, CA 93458-7729 - Phone
- (805) 928-1115
- Fax
- (805) 928-1276
- NPI assigned
- Sep 8, 2005
- 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
- Dr. Francis P Lagattuta, MD
- Title
- President
- Phone
- (805) 928-1115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 050000561 | CA | Primary |
Addresses
Primary practice location
135 Carmen LN
Santa Maria, CA 93458-7729
Mailing address
PO Box 1699
Santa Maria, CA 93456-1699
Phone (805) 928-1115
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184399000 | Other | USDL PIN | |
| 7399463 | Other | CA | AETNA HEALTH PROVIDER NUMBER |
| 050000561 | Other | CA | DPH SURGICAL CLINIC LICENSE |
| P00305321 | Other | CA | RAILROAD MEDICARE GROUP PTAN |
| 5544477 | Other | CCN FIRST HEALTH PIN | |
| CLN 1070 | Other | CA | DCA BOARD OF PHARMACY CLINIC PERMIT |
| FNP 32177 | Other | CA | CA MEDICAL BOARD FICTITIOUS NAME PERMIT |
| 21163 | Other | CA | CITY OF SANTA MARIA BUSINESS LICENSE |
| 05-C0001539 | Other | CA | DHS MEDI-CAL CERTIFICATION NUMBER |
| 212471 | Other | WA | WA STATE DOL |
| C2179691 | Other | CA | SECRETARY OF STATE CORPORATION |
| SUR01539F | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1881688554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1699",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934561699",
"telephone_number": "805-928-1115",
"fax_number": "805-928-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CARMEN LN",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587729",
"telephone_number": "805-928-1115",
"fax_number": "805-928-1276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE AND PAIN TREATMENT MEDICAL CENTER OF SANTA MARIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-08",
"last_updated": "2023-03-07",
"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": "805-928-1115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "050000561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDL PIN",
"identifier": "184399000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PROVIDER NUMBER",
"identifier": "7399463",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPH SURGICAL CLINIC LICENSE",
"identifier": "050000561",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP PTAN",
"identifier": "P00305321",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN FIRST HEALTH PIN",
"identifier": "5544477",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCA BOARD OF PHARMACY CLINIC PERMIT",
"identifier": "CLN 1070",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL BOARD FICTITIOUS NAME PERMIT",
"identifier": "FNP 32177",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY OF SANTA MARIA BUSINESS LICENSE",
"identifier": "21163",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHS MEDI-CAL CERTIFICATION NUMBER",
"identifier": "05-C0001539",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DOL",
"identifier": "212471",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECRETARY OF STATE CORPORATION",
"identifier": "C2179691",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SUR01539F",
"state": "CA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.