WELLSPACE HEALTH (NPI# 1326175100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326175100 |
| Entity Type | Organization |
| Organization Name | WELLSPACE HEALTH |
| Practice Address |
6015 Watt Ave Ste 2 North Highlands CA 95660-4294 |
| Mailing Address |
1820 J St Sacramento CA 95811-3010 |
| Practice Telephone | 9166793925 |
| Practice Fax Number | 9166793928 |
| Mailing Telephone | 9165505481 |
| Mailing Fax Number | 9168228974 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | DR. ALASDAIR JONATHAN PORTEUS (CEO) |
| Authorized Official Telephone | 9167375555 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550001781 | CA | Ambulatory Health Care Facilities |
| 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 |
| Street Address |
6015 WATT AVE STE 2 |
| City | NORTH HIGHLANDS |
| State | CA |
| Zip Code | 95660-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733038 | Rina Ambaram | Dentist | 6015 Watt Ave, North Highlands, CA 95660-4294 | 2005-07-13 |
| 1861942849 | Wellspace Health | Clinic/Center | 6015 Watt Ave, #2, North Highlands, CA 95660-4294 | 2016-10-13 |
| 1497146955 | Kathrina Cauckwell | Social Worker | 6015 Watt Ave, Suite 2, North Highlands, CA 95660-4294 | 2015-02-05 |
| 1962789610 | Therese Ann Forrest-hall | Case Manager/Care Coordinator | 6015 Watt Ave, Suite 2, North Highlands, CA 95660-4294 | 2011-11-09 |
| 1114227428 | Theresa Irene Catalano | Marriage & Family Therapist | 6015 Watt Ave, Suite #2, North Highlands, CA 95660-4294 | 2010-11-02 |
| 1023295110 | Shannon Thomas | Social Worker | 6015 Watt Ave, Suite 2, North Highlands, CA 95660-4294 | 2008-01-30 |
| 1699816108 | Maria Carolina Lopez-shams | Dentist | 6015 Watt Ave, Suite #2, North Highlands, CA 95660-4294 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881198810 | Wyzell Washington | Behavior Technician | 4039 Polk Street #89, North Highlands, CA 95660 | 2018-03-23 |
| 1184147746 | Rosane Jordao | Registered Nurse | 6045 Watt Ave # Wz3e, North Highlands, CA 95660 | 2017-07-25 |
| 1962823435 | Aaron Michael Lowe | Chiropractor | 5400 Watt Ave., North Highlands, CA 95660 | 2013-12-30 |
| 1609157833 | Working Title LLC | Non-emergency Medical Transport (VAN) | 3831 Tavi Ave, North Highlands, CA 95660 | 2011-09-01 |
| 1275795122 | Twin Rivers Unified School District | Local Education Agency (LEA) | 3222 Winona Way, North Highlands, CA 95660 | 2008-07-01 |
| 1295850154 | Vera Bolyshkanov | Dentist | 6137 Watt Ave, Suite 8, North Highlands, CA 95660 | 2007-03-20 |
| 1245304856 | Nourollah Danialypour | General Practice | 5708 Watt Avenue, North Highlands, CA 95660 | 2006-11-17 |
| 1912000571 | Marc Douglas Siemens | Chiropractor | 5705 Marconi Ave, Ste B, Carmichael, CA 95660 | 2006-09-07 |
| 1811004906 | Wendy Walker Godfrey | Social Worker | 3628 Madison Avenue, Suite 7, North Highlands, CA 95660 | 2006-08-24 |
| 1629181045 | Erik Sternad | Marriage & Family Therapist | 4612 Roseville Road, North Highlands, CA 95660 | 2006-08-17 |
| Find all providers in zip 95660 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301921 | Health and Life Organization, Inc. (h.a.l.o.) | Clinic/Center | 4986 Watt Ave Ste D, North Highlands, CA 95660-5182 | 2019-11-20 |
| 1366051120 | Elica Health Centers | Clinic/Center | 4815 Watt Ave, North Highlands, CA 95660-5108 | 2020-07-28 |
| 1851893077 | Elica Health Centers | Clinic/Center | 5708 Watt Avenue, North Highlands, CA 95660 | 2018-03-03 |
| 1861942849 | Wellspace Health | Clinic/Center | 6015 Watt Ave, #2, North Highlands, CA 95660-4294 | 2016-10-13 |
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| Find all providers with the same taxonomy | ||||
| City | NORTH HIGHLANDS |
| Zip Code | 95660 |
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| 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.