Rachel Layne Boomgarden, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

32890 Issued in CA

Practice address

343 Oak St
Red Bluff, CA 96080-3304

Phone

(530) 528-3488

Fax

(530) 690-2684

NPI assigned

Sep 22, 2019

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1306497383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 CAMINO DEL ENCINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014397",
            "telephone_number": "707-599-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 OAK ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803304",
            "telephone_number": "530-528-3488",
            "fax_number": "530-690-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMGARDEN",
        "first_name": "RACHEL",
        "middle_name": "LAYNE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-22",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "32890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Alejandro Bobadilla Parga
• Stacey Boek-Dominguez, M.S., R.D.
• Jessica Bolmanski
• Bondage Breaker Recovery Service
• Kati Boomgarden, FNP
• Karen A Borm, RN
• Richard Lee Bradley
• Bianca Bradshaw, PHARM.D.
• Ashley Brashear, LVN II
• Brentwood Post Acute LLC (Brentwood Post Acute)

• Dental Hygienist in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.