WELLSPACE HEALTH


Address: 2425 Alhambra Blvd, Sacramento, CA 95817-1110
Phone: 9164040022

WELLSPACE HEALTH (NPI# 1144853060) 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) 1144853060
Entity Type Organization
Organization Name WELLSPACE HEALTH
Practice Address 2425 Alhambra Blvd
Sacramento
CA 95817-1110
Practice Telephone 9164040022
Practice Fax Number 9164040023
Mailing Telephone 9164040022
Mailing Fax Number 9164040023
Enumeration Date 2020-02-19
Last Update Date 2020-02-19
Authorized Official Name DR. ALADIAR JONATHAN PORTEUS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9163138413
Authorized Official Credential PHD.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
WellSpace Health Alhambra Pharmacy Doing Business As Name - Organization

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
1104210608 Wellspace Health Clinic/Center 3535 65th St, Suite C, Sacramento, CA 95820-2057 2015-03-23
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

Office Location

Street Address 2425 ALHAMBRA BLVD
City SACRAMENTO
State CA
Zip Code 95817-1110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942203609 Donella Jenkins Family Medicine 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2005-05-24
1457966178 Michelle C Woo Nurse Practitioner 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2020-09-10
1942822663 Kirsten Marie Dorsey Physician Assistant 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2020-05-15
1346724499 Anthony Martinez Counselor 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2018-09-24
1932617669 Mastora Ali Nurse Practitioner 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2018-01-16
1427573153 Jaymee Leak Matthews Nurse Practitioner 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2017-08-03
1396198982 Wellspace Health Clinic/Center 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2016-07-19
1023491339 Samrawit Tekle Family Medicine 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2015-07-06
1033507009 Clark Lomboy Registered Nurse 2425 Alhambra Blvd, Sacramento, CA 95817 2014-12-29
1518370816 Gian Louie Pinot Family Medicine 2425 Alhambra Blvd, Sacramento, CA 95817-1110 2014-06-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1285259283 Uc Davis Health Dietitian, Registered 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 2020-06-15
1942840558 Michael Marchand-gareau Ophthalmology Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 2020-01-11
1467010728 Jiunn Liang Jonathan Yap Student in an Organized Health Care Education/Training Program 4860 Y Str, Ste. 2820, Sacramento, CA 95817 2019-06-03
1083176614 Kevin Lee Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Op512, Sacramento, CA 95817 2019-04-02
1508326703 Ritika Johal Student in an Organized Health Care Education/Training Program 4150 V Street, Pssb 1200, Sacramento, CA 95817 2019-03-22
1811468838 Paige Palsgaard Behavior Technician 6730 4th Ave Apt 1731d, Sacramento, CA 95817 2018-12-17
1922503408 Marie Rossi Student in an Organized Health Care Education/Training Program 4150 V Street #1100, Sacramento, CA 95817 2018-03-27
1639673791 Sean Lam Student in an Organized Health Care Education/Training Program 4150 V Street #1200, Sacramento, CA 95817 2018-03-22
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
Find all providers in zip 95817

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811517535 Natomas Pharmacy, Inc. Pharmacy 4321 Truxel Rd Ste F1, Sacramento, CA 95834-3753 2020-04-22
1124647011 Innova Pharmacy II Pharmacy 3701 J St Ste 101, Sacramento, CA 95816-5542 2020-04-11
1225667181 Raley's Pharmacy 4690 Freeport Blvd, Sacramento, CA 95822 2020-04-03
1740820133 Innova Pharmacy IIi Pharmacy 2400 Glendale Ln Ste A, Sacramento, CA 95825-2431 2020-01-14
1154962967 Pillbox, Inc. Pharmacy 3941 J St Ste 130, Sacramento, CA 95819-3628 2019-10-02
1942869656 Hoang Pharmacy Inc. Pharmacy 8701 Center Pkwy Ste 150, Sacramento, CA 95823-7920 2019-06-07
1104380252 Ahcs Specialty Care LLC Pharmacy 1820 Tribute Rd Ste G, Sacramento, CA 95815-4307 2019-01-23
1689125403 Xpress Care Pharmacy Pharmacy 4241 Florin Rd Ste 50a, Sacramento, CA 95823-2535 2016-10-17
1275987885 Good Heart Pharmacists Pharmacy 1740 Fruitridge Rd # 104, Sacramento, CA 95822-3067 2016-04-20
1619273687 Capitol Pharmacy Inc Pharmacy 4220 Florin Rd # 111, Sacramento, CA 95823-2508 2011-02-08
Find all providers in SACRAMENTO

Competitor

Search similar providers

City SACRAMENTO
Zip Code 95817

Improve Information

Please comment or provide details below to improve the information on WELLSPACE HEALTH.

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.

Trending Searches