Boom Investments, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BOOM INVESTMENTS, INC.

Doing business as

Pro Care Medical Supplies

Practice address

7031 Koll Center Pkwy Ste 200
Pleasanton, CA 94566-3133

Phone

(510) 627-0000

Fax

(510) 834-9700

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Natalie Perez

Title

Ceo

Phone

(510) 627-0000

Specialties & licenses 2

Addresses

Other names 1

• Pro Care Medical Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1629217229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 KOLL CENTER PKWY STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663133",
            "telephone_number": "510-627-0000",
            "fax_number": "510-834-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 KOLL CENTER PKWY STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663133",
            "telephone_number": "510-627-0000",
            "fax_number": "510-834-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOM INVESTMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2023-11-20",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-627-0000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "51015",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Care Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maren Bohne, FNP
• Alice Nelly Bolick, PA
• Helen Jo Bonds
• Paul Bonnel
• Michelle Bonnelly-Juarbe, SLP-CCC
• Vandana Boparai, MD
• Sabrina L Borgen
• Bailey Renea Boss
• Samanta M Bostic
• Ayiana Bowen

• Oxygen Equipment & Supplies (DME) in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.