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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: July 26, 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
Phone(916) 233-4910
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 ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedRespite CareTaxonomy 385H00000X
3415 MARTIN LUTHER KING JR BLVD, Sacramento, CA 95817
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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

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.

TAN C TUNG FNP
Nurse Practitioner (Family)
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 233-4910
GREGORY GAIL BROTT M.D.
Pediatrics
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 875-2995
RUTH SAUNDERS R.D.
Dietitian, Registered
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 628-9670
ASHLEY DENISE CRUZ MSPAS, MPH, PA-C
Physician Assistant
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 737-5555
MS. VIVIAN ANNETTE KOLL ADN
Registered Nurse
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 875-2932
DR. PATRICIA LYNN SAMUELSON MD
Family Medicine
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 737-5555
RISHA B MALIK MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 737-5555
MARGARITA VERA
Technician, Other
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 875-2995

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.

When was this NPI record last updated?

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