WELLSPACE HEALTH
NPI 1104210608
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA
About Wellspace Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPACE HEALTH (NPI 1104210608) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since March 2015. The organization holds 4 active CLIA laboratory certificates and lists Alasdair Jonathan Porteus, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspace Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
99Medicare enrollment records show 99 clinicians reassign Medicare billing to Wellspace Health, which bills Medicare for the services they deliver. Of these, 58 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 99Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
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, CACertificate of Waiver 05D1102479
Wellspace Health Oak Park Community Health Center · Sacramento, CACertificate of Waiver 05D2063286
Wellspace Health Martin Luther King Jr Village · Sacramento, CACertificate of Waiver 05D2063284
Wellspace Health Boulevard Court · Sacramento, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wellspace Health's NPI number?
The NPI number for Wellspace Health is 1104210608. It was assigned to this organization in the NPPES registry on March 23, 2015.
Where is Wellspace Health located?
Wellspace Health is located at 3535 65th St Suite C, Sacramento, CA 95820. The listed phone number is (916) 737-5555.
What is Wellspace Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Wellspace Health enrolled in Medicare?
Yes. Wellspace Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspace Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 99 clinicians in 13 Medicare specialties reassign their Medicare billing to Wellspace Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (44), Internal Medicine (10) and Obstetrics/Gynecology (10). Of these, 58 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellspace Health hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Wellspace Health was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wellspace Health · NPI 1104210608
Federally Qualified Health Center (FQHC) organization in Sacramento, California. Organization record, active in the CMS NPPES registry since March 23, 2015.
## Identity
- **NPI:** 1104210608 (Entity type: Organization)
- **Enumerated:** March 23, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Alasdair Porteus, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 3535 65TH ST, SUITE C, Sacramento, CA 95820-2057
- **Phone:** (916) 737-5555 · **Fax:** (916) 444-5620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 99 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (44), Internal Medicine (10), Obstetrics/Gynecology (10); 58 practice within 10 miles; [full list](https://npiprofile.com/npi/1104210608/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2017
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104210608) · Data from the CMS NPPES public registry.