WELLSPACE HEALTH
NPI 1124257324
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Active since July 08, 2009
3415 MARTIN LUTHER KING JR BLVD, SACRAMENTO, CA 95817(916) 233-4910(916) 731-8149 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About Wellspace Health NPPES

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

WELLSPACE HEALTH (NPI 1124257324) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since July 2009. The organization lists Alasdair Jonathan Porteus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124257324
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWELLSPACE HEALTH
Location Address3415 MARTIN LUTHER KING JR BLVDSacramento, CA 95817-3648
Mailing Address1820 J StSacramento, CA 95811-3010 · (916) 550-5481 · Fax (916) 822-8974
Fax(916) 731-8149
Organization SubpartNo
Authorized OfficialAlasdair Jonathan PorteusChief Executive Officer · (916) 737-5555
Enumeration DateJuly 8, 2009
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
✔ NPI 1124257324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 030000139
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedContractorTaxonomy 171W00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedRespite CareTaxonomy 385H00000X
3415 MARTIN LUTHER KING JR BLVD, Sacramento, CA 95817

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

99

Medicare enrollment records show 99 clinicians reassign Medicare billing to Wellspace Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner44
Internal Medicine10
Obstetrics/Gynecology10
Family Practice8
Pediatric Medicine8
Marriage and Family Therapist6
Clinical Social Worker5
Endocrinology2
5 other specialties6

Nearest to this location (20)

See all 99
Endocrinology
NPI 1144758582
3415 MARTIN LUTHER KING JR BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOSSame address
Family Practice
NPI 1144381351
3415 MARTIN LUTHER KING JR BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOSSame address
Nurse Practitioner
NPI 1548781123
4860 Y ST
Sacramento, CA 95817
(916) 734-3800
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1235459793
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1932617669
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1871479402
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(408) 710-9982
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1023408010
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS1.0 mi
Pediatric Medicine
NPI 1518167667
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1336971415
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1760231666
2779 FREEPORT BLVD
Sacramento, CA 95818
(925) 216-9322
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1184112609
3000 Q ST FL 3
Sacramento, CA 95816
(916) 733-3400
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1821723727
3000 Q ST FL 4
Sacramento, CA 95816
(916) 733-3401
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1285253559
3701 J ST STE 201
Sacramento, CA 95816
(916) 454-2345
✔ PECOS1.9 mi
Family Practice
NPI 1316148331
1820 J ST
Sacramento, CA 95811
(167) 375-5555
✔ PECOS2.8 mi
Psychiatry
NPI 1144294349
2001 N ST STE 100
Sacramento, CA 95811
(916) 932-0380
✔ PECOS✔ Accepts Medicare2.8 mi
Marriage and Family Therapist
NPI 1003225129
631 H ST
Sacramento, CA 95814
(916) 822-8975
✔ PECOS3.0 mi
Internal Medicine
NPI 1821023862
4241 FLORIN RD STE 240
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts Medicare3.3 mi
Endocrinology
NPI 1104026558
4241 FLORIN RD STE 30&40
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts Medicare3.3 mi
Marriage and Family Therapist
NPI 1528942075
1820 J ST
Sacramento, CA 95811
(916) 313-8433
✔ PECOS3.7 mi
Obstetrics/Gynecology
NPI 1598739161
7237 E SOUTHGATE DR SUITE C
Sacramento, CA 95823
(916) 392-2290
✔ PECOS3.7 mi
See all 99 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 1124257324. It was assigned to this organization in the NPPES registry on July 8, 2009.

Where is Wellspace Health located?

Wellspace Health is located at 3415 Martin Luther King Jr Blvd, Sacramento, CA 95817. The listed phone number is (916) 233-4910.

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, 2 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellspace Health was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.