Organization Active NPI

Spine and Pain Treatment Medical Center of Santa Maria Inc

  • Ambulatory Surgical Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1881688554
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
050000561 Issued in CA
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
184399000OtherUSDL PIN
7399463OtherCAAETNA HEALTH PROVIDER NUMBER
050000561OtherCADPH SURGICAL CLINIC LICENSE
P00305321OtherCARAILROAD MEDICARE GROUP PTAN
5544477OtherCCN FIRST HEALTH PIN
CLN 1070OtherCADCA BOARD OF PHARMACY CLINIC PERMIT
FNP 32177OtherCACA MEDICAL BOARD FICTITIOUS NAME PERMIT
21163OtherCACITY OF SANTA MARIA BUSINESS LICENSE
05-C0001539OtherCADHS MEDI-CAL CERTIFICATION NUMBER
212471OtherWAWA STATE DOL
C2179691OtherCASECRETARY OF STATE CORPORATION
SUR01539FMedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.