| Lags Recovery Centers, Inc. | |
|
135 Carmen Ln Santa Maria CA 93458-7729 | |
| (805) 332-4568 | |
| (805) 332-3487 |
| Full Name | Lags Recovery Centers, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 135 Carmen Ln, Santa Maria, California |
| Authorized Official Name and Position | Francis Peter Lagattuta (CEO) |
| Authorized Official Contact | 8053324568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lags Recovery Centers, Inc. 135 Carmen Ln Santa Maria CA 93458-7729 Ph: (805) 332-4568 | Lags Recovery Centers, Inc. 135 Carmen Ln Santa Maria CA 93458-7729 Ph: (805) 332-4568 |
| NPI Number | 1033665526 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 2365844206 |
|---|---|
| Medicare Enrollment ID | O20220707001799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033665526 | NPI | - | NPPES |
| 216I7HBS | Medicaid | CA |
| Provider Name | Peter L Lavalle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114907995 PECOS PAC ID: 3375649494 Enrollment ID: I20070507000621 |
| Provider Name | Rafael R Teran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487939989 PECOS PAC ID: 6800050345 Enrollment ID: I20120612000552 |
| Provider Name | Alexander S Cardenas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720342116 PECOS PAC ID: 7214163781 Enrollment ID: I20131112001182 |
| Provider Name | Katya Adachi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215227244 PECOS PAC ID: 5294968855 Enrollment ID: I20170321001555 |
| Provider Name | Femi B Obanor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225547359 PECOS PAC ID: 0547521809 Enrollment ID: I20180228002877 |
| Provider Name | Jeremy Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891033544 PECOS PAC ID: 0840660072 Enrollment ID: I20230105000677 |
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