WELLSPACE HEALTH – NPI #1457178055
Clinic/Center

WELLSPACE HEALTH is an AHC clinic located in SACRAMENTO, CA. NPPES has assigned the NPI number 1457178055 to WELLSPACE HEALTH on September 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELLSPACE HEALTH below.

NPI Profile for
WELLSPACE HEALTH

NPI Number
1457178055
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WELLSPACE HEALTH
Primary location
8243EAST STOCKTON BLVD
SUITE A
SACRAMENTO, CA 95828
Phone: (916) 737-5555 Fax:
Mailing address
1500 EXPO PKWY
SACRAMENTO, CA 95815-4227
Phone: (916) 469-4690 Fax: (916) 880-5552
Organization Subpart
No
Authorized Official
ALASDAIR PORTEUS
CHIEF EXECUTIVE OFFICER
Phone: (916) 550-5444
Updated
Certification Date
Sep 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.