WELLSPACE HEALTH
NPI 1063287001
Clinic/Center - Radiology, Mobile Mammography in Sacramento, CA

Q: What is Wellspace Health's NPI number?

The NPI number for Wellspace Health is 1063287001. It was assigned to this organization in the NPPES registry on November 20, 2023. The provider is doing business as WellSpace Health Radiology.

Q: What is Wellspace Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile Mammography, with taxonomy code 261QR0207X.

Q: When was this NPI record last updated?

The NPPES record for Wellspace Health was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 20, 2023CLIA Certified · 5 labs

1500 EXPO PKWY, SACRAMENTO, CA 95815(916) 737-5555 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Wellspace Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPACE HEALTH (NPI 1063287001), doing business as Wellspace Health Radiology, is a healthcare organization registered as a radiology, mobile mammography in Sacramento, California and active in the NPI registry since November 2023. The organization holds 5 active CLIA laboratory certificates and lists Alasdair Jonathan Porteus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063287001

Entity TypeOrganization

Primary Taxonomy261QR0207X

Legal Business NameWELLSPACE HEALTH

Location Address1500 EXPO PKWYSacramento, CA 95815-4227

Mailing Address1500 Expo PkwySacramento, CA 95815-4227 · (916) 737-5555

Phone(916) 737-5555

Organization SubpartNo

Authorized OfficialAlasdair Jonathan PorteusChief Executive Officer · (916) 550-5444

Enumeration DateNovember 20, 2023

NPPES CertifiedNovember 20, 2023

✔ NPI 1063287001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, Mobile MammographyAmbulatory Health Care Facilities

Taxonomy Code261QR0207X

1500 EXPO PKWY, Sacramento, CA 95815

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Other Names 1

Doing Business AsWellspace Health Radiology

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2181021

Wellspace Health Sierra Gardens 2 Comm Health Ctr · Roseville, CA

Active · expires Mar 24, 2028

CLIA Number05D2181021

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMarch 25, 2026

Certificate Expiration DateMarch 24, 2028

Laboratory DirectorJanine V. Bera

Laboratory Phone(916) 737-5555

Laboratory LocationWellspace Health Sierra Gardens 2 Comm Health Ctr151 N Sunrise Avenue Suite 1309, Roseville, CA 95661

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D1102479

Wellspace Health Oak Park Community Health Center · Sacramento, CA

Active · expires Mar 16, 2028

CLIA Number05D1102479

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMarch 17, 2026

Certificate Expiration DateMarch 16, 2028

Laboratory DirectorDr. Janine W. Bera

Laboratory Phone(916) 737-5555

Laboratory LocationWellspace Health Oak Park Community Health Center3415 Martin Luther King Jr Blvd, Sacramento, CA 95817

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2289563

Wellspace Health Bunker Community Health Center · Sacramento, CA

Active · expires Sep 11, 2027

CLIA Number05D2289563

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 12, 2025

Certificate Expiration DateSeptember 11, 2027

Laboratory DirectorJanine V. Bera

Laboratory Phone(916) 737-5555

Laboratory LocationWellspace Health Bunker Community Health Center4990 Stockton Blvd, Sacramento, CA 95820

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0697386

Wellspace Health J Street Community Health Center · Sacramento, CA

Active · expires May 6, 2027

CLIA Number05D0697386

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 7, 2025

Certificate Expiration DateMay 6, 2027

Laboratory DirectorJanine Bera MD

Laboratory Phone(916) 737-5555

Laboratory LocationWellspace Health J Street Community Health Center1820 J Street, Sacramento, CA 95811

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2155354

Wellspace Health Alternative House · Sacramento, CA

Active · expires Sep 26, 2026

CLIA Number05D2155354

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateSeptember 27, 2024

Certificate Expiration DateSeptember 26, 2026

Laboratory DirectorJanine Bera

Laboratory Phone(916) 313-8434

Laboratory LocationWellspace Health Alternative House1550 Juliesse Avenue, Sacramento, CA 95815

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP YEN M.D.

Radiology (Diagnostic Radiology)