WELLSPACE HEALTH (NPI# 1932663192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932663192 |
| Entity Type | Organization |
| Organization Name | WELLSPACE HEALTH |
| Other Organization Name | WELLSPACE HEALTH NORWOOD COMMUNITY HEALTH CENTER |
| Practice Address |
3946 Norwood Ave Sacramento CA 95838-3300 |
| Mailing Address |
777 12th St Ste 250 Sacramento CA 95814-1929 |
| Practice Telephone | 9165640521 |
| Practice Fax Number | 8778602907 |
| Mailing Telephone | 9165505481 |
| Mailing Fax Number | 9165203921 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | DR. ALADIAR JONATHAN PORTEUS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9163138413 |
| 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) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WellSpace Health Norwood Community Health Center | Other Name - Individual/Organization |
| 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 |
3946 NORWOOD AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713240 | Dennie L Schultheis | Family Medicine | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2005-07-12 |
| 1497235634 | Linda Ifeoma Okwu | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2018-08-17 |
| 1487109955 | Esohe Abel Omoruyi | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2016-08-24 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1235542408 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2014-06-05 |
| 1013348507 | Valerie O. Ajiduah | Physician Assistant | 3946 Norwood Ave, Sacramento, CA 95838-1092 | 2013-12-09 |
| 1619315231 | Thanh Ha | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2013-06-05 |
| 1013297498 | Megan Lorene Brown | Counselor | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2011-08-17 |
| 1366773061 | Tracie Marie Demarco | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2010-01-19 |
| 1053555029 | Jean Gregory Howell | Family Medicine | 3946 Norwood Ave, Sacramento, CA 95838 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1104210608 | Wellspace Health | Clinic/Center | 3535 65th St, Suite C, Sacramento, CA 95820-2057 | 2015-03-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95838 |
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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.