1. Home
  2. Directory
  3. California
  4. Modesto
  5. Psychiatry Neurology
  6. NPI Profile

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
NPI 1376007476
Psychiatry & Neurology - Addiction Medicine in Modesto, CA

Active since January 23, 2019
803 COFFEE RD STE 11, MODESTO, CA 95355(209) 284-0738 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lags Spine And Sportscare Medical Centers, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI 1376007476) is a healthcare organization registered as an addiction medicine in Modesto, California and active in the NPI registry since January 2019. The organization lists Amy D'amato, Contracts Manager, as its authorized official.

NPPES Registry Identity

NPI1376007476
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameLAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Location Address803 COFFEE RD STE 11Modesto, CA 95355-4244
Mailing Address218 N I StLompoc, CA 93436-0909 · (805) 736-7886 · Fax (805) 736-7867
Phone(209) 284-0738
Organization SubpartNo
Authorized OfficialAmy D'amatoContracts Manager · (805) 264-3388
Enumeration DateJanuary 23, 2019
✔ NPI 1376007476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
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
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
803 COFFEE RD STE 11, Modesto, CA 95355
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE JOHNSON LMFT, CSAT
Marriage & Family Therapist
803 COFFEE RD STE 11
MODESTO, CA 95355
Stanislaus County (510) 892-9812
CHERIE DOCKERY LICENSED CLINICAL SOCIAL WORK CORPORATION
Social Worker (Clinical)
803 COFFEE RD STE 11
MODESTO, CA 95355
Stanislaus County (209) 604-7734
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Physical Medicine & Rehabilitation (Pain Medicine)
803 COFFEE RD STE 11
MODESTO, CA 95355
Stanislaus County (209) 284-0729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lags Spine And Sportscare Medical Centers, Inc.'s NPI number?

The NPI number for Lags Spine And Sportscare Medical Centers, Inc. is 1376007476. It was assigned to this organization in the NPPES registry on January 23, 2019.

Where is Lags Spine And Sportscare Medical Centers, Inc. located?

Lags Spine And Sportscare Medical Centers, Inc. is located at 803 Coffee Rd Ste 11, Modesto, CA 95355. The listed phone number is (209) 284-0738.

What is Lags Spine And Sportscare Medical Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Lags Spine And Sportscare Medical Centers, Inc. was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.