BOOMER MEDICAL CLINIC
NPI 1538458351
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Sacramento, CA

Active since April 01, 2011
3525 WATT AVE, SACRAMENTO, CA 95821(916) 480-0707 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boomer Medical Clinic NPPES

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

BOOMER MEDICAL CLINIC (NPI 1538458351) is a healthcare organization registered as a spinal cord injury medicine in Sacramento, California and active in the NPI registry since April 2011. The organization lists Kimberly Le, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538458351
Entity TypeOrganization
Primary Taxonomy2081P0004X
Legal Business NameBOOMER MEDICAL CLINIC
Location Address3525 WATT AVESacramento, CA 95821
Mailing AddressPo Box 1939Carmichael, CA 95609-1939
Organization SubpartNo
Authorized OfficialKimberly LeMedical Director · (916) 480-0707
Enumeration DateApril 1, 2011
Last NPPES UpdateFebruary 20, 2012
NPI 1538458351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0004X
License Licensed in CA · G72879
Definition

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License A46083 (CA)
3525 WATT AVE, Sacramento, CA 95821

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

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 Boomer Medical Clinic's NPI number?

The NPI number for Boomer Medical Clinic is 1538458351. It was assigned to this organization in the NPPES registry on April 1, 2011.

Where is Boomer Medical Clinic located?

Boomer Medical Clinic is located at 3525 Watt Ave, Sacramento, CA 95821. The listed phone number is (916) 480-0707.

What is Boomer Medical Clinic's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

When was this NPI record last updated?

The NPPES record for Boomer Medical Clinic was last updated on February 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.