BOOMER MEDICAL CLINIC
NPI 1538458351
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Sacramento, CA
NPI Status: Active since April 01, 2011
- 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 business group with one or more individual providers 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 4 | 5 | 8 | 3 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 8 | 5 | 16 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 8 + 5 + 1 + 6 + 3 + 1 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1538458351 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538458351, enumerated in the NPI registry 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
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P0004X with a focus in Spinal Cord Injury Medicine
This NPI record was last updated on April 01, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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