BOOMERANG HEALTHCARE
NPI 1922198779
Physical Medicine & Rehabilitation - Pain Medicine in Walnut Creek, CA

Q: What is the provider's specialty?

The provider's specialty is Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

Active since October 13, 2006CLIA 05D1066898 · Accreditation

450 N WIGET LN, WALNUT CREEK, CA 94598(925) 691-9806(925) 407-2928 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Boomerang Healthcare NPPES

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

BOOMERANG HEALTHCARE (NPI 1922198779) is a healthcare organization registered as a pain medicine in Walnut Creek, California and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through August 23, 2026 and lists Jacob A Rosenberg, President, as its authorized official.

NPPES Registry Identity

NPI1922198779

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameINTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC.

Location Address450 N WIGET LNWalnut Creek, CA 94598-2408

Mailing Address450 N Wiget LnWalnut Creek, CA 94598-2408 · (925) 691-9806 · Fax (925) 407-2928

Phone(925) 691-9806

Fax(925) 407-2928

Organization SubpartNo

Authorized OfficialJacob A RosenbergPresident · (925) 691-9806

Enumeration DateOctober 13, 2006

Last NPPES UpdateDecember 8, 2022

NPPES CertifiedDecember 8, 2022

✔ NPI 1922198779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in CA · FNP28893

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

450 N WIGET LN, Walnut Creek, CA 94598

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Other Names 1

Doing Business AsBoomerang Healthcare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D1066898

Integrated Pain Medical Group Inc · Walnut Creek, CA

Active · expires Aug 23, 2026

CLIA Number05D1066898

Laboratory TypePhysician Office

Certificate Effective DateAugust 24, 2024

Certificate Expiration DateAugust 23, 2026

Laboratory DirectorDr. Xiangdong Xu

Laboratory Phone(925) 691-9806

Laboratory LocationIntegrated Pain Medical Group Inc450 N Wiget Ln, Walnut Creek, CA 94598

CLIA data matches this NPI record on: Address Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

JACOB A ROSENBERG MD

Pain Medicine (Pain Medicine)