LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
NPI 1174087274
Psychiatry & Neurology - Addiction Medicine in San Luis Obispo, CA

NPI Status: Active since January 23, 2019

Contact Information

1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 541-8581
Fax: (805) 541-8584

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  • Organization
  • Psychiatry & Neurology
  • Addiction Medicine

About LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

This page provides the complete NPI Profile along with additional information for Lags Spine And Sportscare Medical Centers, Inc., a provider established in San Luis Obispo, California operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1174087274 assigned on January 2019. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Lags Spine And Sportscare Medical Centers, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Amy D'amato (Contracts Manager)

NPI
1174087274
Provider Name
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Entity Type
Organization
Location Address
1223 HIGUERA ST STE 101 SAN LUIS OBISPO, CA 93401
Location Phone
(805) 541-8581
Location Fax
(805) 541-8584
Mailing Address
218 N I ST LOMPOC, CA 93436
Mailing Phone
(805) 736-7886
Mailing Fax
(805) 541-8584
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2019
Last Update Date
01-23-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3163WP0808XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY D'AMATO

Authorized Official Title
CONTRACTS MANAGER
Authorized Official Phone
(805) 264-3388

Reviews for LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174087274
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211440814214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 0 + 8 + 1 + 4 + 2 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1174087274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184111494LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Organization
Counselor (Addiction (Substance Use Disorder))1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA 93401
(805) 541-8581
1285117796LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Organization
Physical Medicine & Rehabilitation (Pain Medicine)1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA 93401
(805) 541-8581
1972389229 MICHAEL PATRICK STERLING DC
Individual
Chiropractor1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA 93401
(805) 781-9155

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174087274, enumerated in the NPI registry as an "organization" on January 23, 2019

The provider is located at 1223 Higuera St Ste 101 San Luis Obispo, Ca 93401 and the phone number is (805) 541-8581

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084A0401X with a focus in Addiction Medicine

This NPI record was last updated on January 23, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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