BOOMER MEDICAL CLINIC
BOOMER MEDICAL CLINIC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1538458351, based in Sacramento, CA. The organization lists 2 taxonomy classifications, with Spinal Cord Injury Medicine Physician recorded as primary.
Getting there
The practice address on file is 3525 WATT AVE, Sacramento, CA 95821. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G72879 | CA | Spinal Cord Injury Medicine Physician primary |
| A46083 | CA | Emergency Medicine Physician |
This provider holds licence G72879 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Spinal Cord Injury Medicine covers
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. NUCC Health Care Provider Taxonomy, code 2081P0004X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081P0004X | Spinal Cord Injury Medicine Physician Spinal Cord Injury Medicine | G72879 | CA | primary |
| 207P00000X | Emergency Medicine Physician | A46083 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1538458351 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 1, 2011 |
| Last updated | Feb 20, 2012 |
| Status | Active |
| Practice address |
3525 WATT AVE Sacramento, CA 95821 (916) 480-0707 |
| Mailing address |
PO BOX 1939 Carmichael, CA 95609 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 3 | 8 | 4 | 5 | 8 | 3 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 6 | 8 | 8 | 5 | 7 | 3 | 1 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.