Clarissa O Lagman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

21700 Issued in CA

Practice address

1000 E Dominguez St
Ste 110
Carson, CA 90746-3600

Phone

(310) 715-7755

Fax

(424) 704-2493

NPI assigned

Jul 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Clarissa D Obispo Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Richard M Butlig M D IncGroup PAC ID 1254472525, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard M Butlig MD Inc

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1174787642
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1912295171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST STE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST",
            "address_2": "STE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463600",
            "telephone_number": "310-715-7755",
            "fax_number": "424-704-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGMAN",
        "first_name": "CLARISSA",
        "middle_name": "O",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "21700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "OBISPO",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Verock Ky, DDS
• La Sleep Med Center
• Jenifer B. Labrador, DDS
• Sheila Mae Lachica, PA-C
• Anne E. Lafever, LMFT
• Lake Medical Transportation LLC
• Christina Alexandra Lama
• Jose Luis M Lami, MD
• Steven Lang, DPT
• Danielle Christina Laycook

• Medical Physician Assistant in Carson, CA
• Providers in Carson, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.