WELLSPACE HEALTH (NPI# 1679819007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679819007 |
| Entity Type | Organization |
| Organization Name | WELLSPACE HEALTH |
| Practice Address |
3415 Martin Luther King Jr. Blvd Sacramento CA 95817-3648 |
| Mailing Address |
1820 J Street Sacramento CA 95811-3010 |
| Practice Telephone | 9166468000 |
| Practice Fax Number | 9168228974 |
| Mailing Telephone | 9165505481 |
| Mailing Fax Number | 9168228974 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | DR. ALASDAIR JONATHAN PORTEUS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9167375555 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
550001135 | 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 |
| 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 |
| Street Address |
3415 MARTIN LUTHER KING JR. BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-3648 |
| 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 Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1619271129 | County of Sacramento | Clinic/Center | 1321 North C Street, Sacramento, CA 95811 | 2010-12-28 |
| 1013241835 | Clara's House | Clinic/Center | 3319 J St, Sacramento, CA 95816-4502 | 2009-09-25 |
| 1952439929 | Greater Sacramento Pediatrics Assoc Inc | Clinic/Center | 2345 El Camino Ave, Suite A, Sacramento, CA 95821-5633 | 2007-03-01 |
| 1316991714 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 1125 10th St, Sacramento, CA 95814-3503 | 2006-05-20 |
| 1679526693 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 201 29th St, Suite B, Sacramento, CA 95816-3271 | 2006-05-19 |
| 1679117972 | Blossom Ridge Medical, Inc. | Clinic/Center | 520 9th St Ste 240, Sacramento, CA 95814-1327 | 2019-10-30 |
| 1174824437 | Sacramento Life Center | Clinic/Center | 2316 Bell Executive Ln, Sacramento, CA 95825-4068 | 2010-11-03 |
| 1093036741 | Sacramento County Department of Health and Human Services | Clinic/Center | 7001 A East Parkway, Suite 200, Sacramento, CA 95823 | 2010-06-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.