WELLSPACE HEALTH


Address: 3535 65th St, Suite C, Sacramento, CA 95820-2057
Phone: 9167375555

WELLSPACE HEALTH (NPI# 1104210608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104210608
Entity Type Organization
Organization Name WELLSPACE HEALTH
Practice Address 3535 65th St
Suite C
Sacramento
CA 95820-2057
Mailing Address 1820 J Street
Sacramento
CA 95811
Practice Telephone 9167375555
Practice Fax Number 9164445620
Mailing Telephone 9165505481
Mailing Fax Number 9168228974
Enumeration Date 2015-03-23
Last Update Date 2017-08-16
Authorized Official Name MR. ALASDAIR JONATHAN PORTEUS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9167375555
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
CA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720546724 Wellspace Health Clinic/Center 4241 Florin Rd Ste 30, Sacramento, CA 95823-2535 2019-03-08
1265777692 Wellspace Health Clinic/Center 631 H St, Sacramento, CA 95814 2012-12-12
1679819007 Wellspace Health Clinic/Center 3415 Martin Luther King Jr. Blvd, Sacramento, CA 95817-3648 2012-12-12
1821357492 Wellspace Health Clinic/Center 8231 E Stockton Blvd, Suite C, Sacramento, CA 95828-8202 2012-05-16
1225335581 Wellspace Health Clinic/Center 5321 Stockton Blvd, Sacramento, CA 95820-5411 2011-02-23
1871617688 Wellspace Health Community/Behavioral Health 1550 Juliesse Ave, Sacramento, CA 95817-3648 2007-03-19
1275687659 Wellspace Health Counselor 8233 East Stockton Blvd., Suite D, Sacramento, CA 95817-3648 2007-01-22
1033295084 Wellspace Health Community/Behavioral Health 4441 Auburn Blvd, Suite E, Sacramento, CA 95841-4139 2006-10-31
1558446179 Wellspace Health Community/Behavioral Health 4343 Williamsbourgh Drive, Sacramento, CA 95823-2006 2006-10-25
1144853060 Wellspace Health Pharmacy 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2020-02-19

Office Location

Street Address 3535 65TH ST
SUITE C
City SACRAMENTO
State CA
Zip Code 95820-2057

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676820 Laraine K Koen Student in an Organized Health Care Education/Training Program 123 Brookshire Lane, Sacramento, CA 95820 2020-10-12
1730737727 Vincent Tang Student in an Organized Health Care Education/Training Program 3230 Sher Court, Sacramento, CA 95820 2019-09-03
1871159897 Lauren Smith Student in an Organized Health Care Education/Training Program Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 2019-05-15
1053899336 Melissa Anne Jeffery Community Health Worker 4600 Broadway Suite 1300, Sacramento, CA 95820 2018-07-30
1841785284 Chelsea Kirstin Acker Student in an Organized Health Care Education/Training Program 3671 Business Dr., Sacramento, CA 95820 2018-06-28
1770022667 Shelly Valdez Behavior Technician 5520 Priscilla Ln, Sacramento, CA 95820 2017-02-13
1285184135 Trang Thu Tran Registered Nurse 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 2016-10-04
1356716039 Nicole Hisaka Psychologist 3651 Business Dr, Sacramento, CA 95820 2015-12-07
1538542469 Universal Med Express, LLC Non-emergency Medical Transport (VAN) 3230 27th Ave, Sacramento, CA 95820 2015-07-09
1033507470 Moua Yang Case Manager/Care Coordinator 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 2015-01-08
Find all providers in zip 95820

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265059182 Elica Health Centers Clinic/Center 77 Cadillac Dr Ste 200, Sacramento, CA 95825-8337 2020-06-26
1508487653 Health and Life Organization, Inc. (h.a.l.o.) Clinic/Center 7215 55th St Ste B, Sacramento, CA 95823-2601 2020-04-29
1720546724 Wellspace Health Clinic/Center 4241 Florin Rd Ste 30, Sacramento, CA 95823-2535 2019-03-08
1073077616 Cares Community Health Clinic/Center 815 S St, Sacramento, CA 95811-7064 2019-01-28
1982114492 Cares Community Health Clinic/Center 1442 Ethan Way Ste 100, Sacramento, CA 95825-2232 2017-10-10
1548705874 Elica Health Centers Clinic/Center 752 Revere St Unit B, Sacramento, CA 95818-2073 2016-12-22
1063965952 Health for All - Revere Clinic Clinic/Center 752 Revere St, Unit B, Sacramento, CA 95818-2073 2016-07-27
1164886040 Peach Tree Healthcare Clinic/Center 3810 Rosin Ct, Suite 100, Sacramento, CA 95834-1656 2016-04-07
1740660703 Elica Health Centers Clinic/Center 1750 Wright St Ste 1, Sacramento, CA 95825-4041 2015-06-04
1508284407 Health for All - Administration Clinic/Center 420 I Street, Suite 7, Sacramento, CA 95814-2319 2014-03-29
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95820

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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