BOOMER MEDICAL CLINIC
NPI 1538458351
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Sacramento, CA
NPI Status: Active since April 01, 2011
Contact Information
3525 WATT AVE
SACRAMENTO, CA
ZIP 95821
Phone: (916) 480-0707
- Organization
- Physical Medicine & Rehabilitation
- Spinal Cord Injury Medicine
About BOOMER MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Boomer Medical Clinic, a provider established in Sacramento, California operating as a Physical Medicine & Rehabilitation, focusing in spinal cord injury medicine . The healthcare provider is registered in the NPI registry with number 1538458351 assigned on April 2011. The practitioner's primary taxonomy code is 2081P0004X with license number G72879 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Boomer Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kimberly Le M.d. (Medical Director)
- NPI
- 1538458351
- Provider Name
- BOOMER MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 3525 WATT AVE SACRAMENTO, CA 95821
- Location Phone
- (916) 480-0707
- Mailing Address
- PO BOX 1939 CARMICHAEL, CA 95609
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-01-2011
- Last Update Date
- 02-20-2012
- Code Navigator
Location Map
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
Physical Medicine & Rehabilitation Spinal Cord Injury Medicine
- Taxonomy Code
- 2081P0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G72879
- License State
- CA
- Taxonomy Description
- A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
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) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | A46083 (CA) |
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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1538458351, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538458351, enumerated as an "organization" on April 01, 2011.
The provider is located at 3525 WATT AVE SACRAMENTO, CA 95821 and the phone number is (916) 480-0707.
Physical Medicine & Rehabilitation with taxonomy code 2081P0004X and a focus in Spinal Cord Injury Medicine.
