Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boomer Medical Clinic

Organization Emergency Medicine Physician · NPI 1538458351

Boomer Medical Clinic is an Emergency Medicine Physician in Sacramento, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

3525 Watt Ave
Sacramento, CA 95821
Phone: (916) 480-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Spinal Cord Injury Medicine Physician (primary) Taxonomy 2081P0004X · Licence G72879 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A46083 (CA)

Record details

NPI number1538458351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Le — Medical Director · (916) 480-0707
NPI enumeratedApril 1, 2011
Last updated in NPPESFebruary 20, 2012
Mailing addressPo Box 1939, Carmichael, CA 95609-1939

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