WELLSPACE HEALTH
NPI 1215702253
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

NPI Status: Active since November 20, 2023

Contact Information

2433 MARCONI AVE
SACRAMENTO, CA
ZIP 95821
Phone: (916) 737-5555

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Federally Qualified Health Center (FQHC)
CLIA Number: 05D2289563
CLIA Cert. Type: Federally Qualified Health Center
CLIA Exp. Date: 09-11-2025

About WELLSPACE HEALTH

This page provides the complete NPI Profile along with additional information for Wellspace Health, a primary care provider established in Sacramento, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1215702253 assigned on November 2023. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Alasdair Jonathan Porteus Phd (Chief Executive Officer)

NPI: 1215702253
Provider Name: WELLSPACE HEALTH
Entity Type: Organization
Location Address: 2433 MARCONI AVE SACRAMENTO, CA 95821
Location Phone: (916) 737-5555
Mailing Address: 1500 EXPO PKWY SACRAMENTO, CA 95815
Mailing Phone: (916) 737-5555
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-20-2023
Last Update Date: 11-20-2023
Code Navigator

A primary care provider (PCP) like Wellspace Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Federally Qualified Health Center (FQHC)
Taxonomy Code: 261QF0400X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ALASDAIR JONATHAN PORTEUS PHD
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (916) 550-5444

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D2289563
Facility Type: Federally Qualified Health Center
Certificate Effective Date: September 12, 2023
Certificate Expiration Date: September 11, 2025
Laboratory Director: JANINE V. BERA
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Wellspace Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	7	0	2	2	5	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	14	0	4	2	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 4 + 0 + 4 + 2 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 3									3

The NPI number 1215702253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 17 providers are registered at the same or nearby location.

DR. JAMES ROBERT WEDELL M.D.

Family Medicine

2433 MARCONI AVE
SACRAMENTO, CA
ZIP 95821

About WELLSPACE HEALTH

Location Map

Specialty - Primary Taxonomy

Clinic/Center Federally Qualified Health Center (FQHC)

Authorized Official

ALASDAIR JONATHAN PORTEUS PHD

CLIA Information

Reviews for WELLSPACE HEALTH

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is WELLSPACE HEALTH's NPI number?

Where is the provider located?

What is the provider's specialty?