Organization
SPINE AND PAIN TREATMENT MEDICAL CENTER OF SANTA MARIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS P LAGATTUTA MD (PRESIDENT)
(805) 928-1115
Entity
Organization
Contact information
Practice address
135 CARMEN LN, SANTA MARIA, CA 93458-7729
(805) 928-1115
(805) 928-1276
Mailing address
PO BOX 1699, SANTA MARIA, CA 93456-1699
(805) 928-1115
(805) 928-1276
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050000561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-C0001539
DHS MEDI-CAL CERTIFICATION NUMBER
CA
01
—
050000561
DPH SURGICAL CLINIC LICENSE
CA
01
—
184399000
USDL PIN
—
01
—
21163
CITY OF SANTA MARIA BUSINESS LICENSE
CA
01
—
212471
WA STATE DOL
WA
01
—
5544477
CCN FIRST HEALTH PIN
—
01
—
7399463
AETNA HEALTH PROVIDER NUMBER
CA
01
—
C2179691
SECRETARY OF STATE CORPORATION
CA
01
—
CLN 1070
DCA BOARD OF PHARMACY CLINIC PERMIT
CA
01
—
FNP 32177
CA MEDICAL BOARD FICTITIOUS NAME PERMIT
CA
01
—
P00305321
RAILROAD MEDICARE GROUP PTAN
CA
05
—
SUR01539F
—
CA
Enumeration date
09/08/2005
Last updated
03/07/2023
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