BOOMERANG HEALTHCARE
NPI 1922198779
Physical Medicine & Rehabilitation - Pain Medicine in Walnut Creek, CA
NPI Status: Active since October 13, 2006
Contact Information
450 N WIGET LN
WALNUT CREEK, CA
ZIP 94598
Phone: (925) 691-9806
Fax: (925) 407-2928
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- CLIA Number: 05D1066898
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-23-2026
About BOOMERANG HEALTHCARE
This page provides the complete NPI Profile along with additional information for Boomerang Healthcare, a provider established in Walnut Creek, California operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1922198779 assigned on October 2006. The practitioner's primary taxonomy code is 2081P2900X with license number FNP28893 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Boomerang Healthcare operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Boomerang Healthcare. The authorized official of this NPI record is Dr. Jacob A Rosenberg M.d. (President)
- NPI
- 1922198779
- Provider Legal Name
- INTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC.
- Other Organization Name
- BOOMERANG HEALTHCARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 450 N WIGET LN WALNUT CREEK, CA 94598
- Location Phone
- (925) 691-9806
- Location Fax
- (925) 407-2928
- Mailing Address
- 450 N WIGET LN WALNUT CREEK, CA 94598
- Mailing Phone
- (925) 691-9806
- Mailing Fax
- (925) 407-2928
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-13-2006
- Last Update Date
- 12-08-2022
- 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 Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- FNP28893
- License State
- CA
- Taxonomy Description
- 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.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1066898
- Facility Type
- Physician Office
- Certificate Effective Date
- August 24, 2024
- Certificate Expiration Date
- August 23, 2026
- Laboratory Director
- DR. XIANGDONG XU
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Boomerang Healthcare on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1922198779, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922198779, enumerated as an "organization" on October 13, 2006.
The provider is located at 450 N WIGET LN WALNUT CREEK, CA 94598 and the phone number is (925) 691-9806.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.
