NPIMap

Organization Active NPI

Lags Spine and Sportscare Medical Center, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Arroyo Grande, CA
National Provider Identifier
1912185166
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
E057735 Issued in CA
Legal business name
LAGS SPINE AND SPORTSCARE MEDICAL CENTER, INC.
Practice address
354 S Halcyon Rd
Suite B
Arroyo Grande, CA 93420
Phone
(805) 928-7361
Fax
(805) 928-5742
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Francis P. Lagattuta, MDNPI 1992799704
Title
President
Phone
(805) 928-7361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X E057735 CA Primary

Addresses

Primary practice location

354 S Halcyon Rd
Suite B
Arroyo Grande, CA 93420

Mailing address

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

Other practice location 1

592 S 13th St
Grover Beach, CA 93433-3820
Phone (805) 473-6510

Other identifiers 1

IdentifierTypeStateIssuer
E057735OtherCASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Lags Spine and Sportscare Medical Centers Inc52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1912185166",
    "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": "354 S HALCYON RD",
            "address_2": "SUITE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93420",
            "telephone_number": "805-928-7361",
            "fax_number": "805-928-5742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "592 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Grover Beach",
            "state": "CA",
            "postal_code": "934333820",
            "country_code": "US",
            "telephone_number": "805-473-6510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAGS SPINE AND SPORTSCARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2018-08-27",
        "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": "805-928-7361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "E057735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E057735",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.