WELLSPACE HEALTH
NPI 1225550874
Clinic/Center - Federally Qualified Health Center (FQHC) in Martell, CA

Active since July 14, 2017
11333 PROSPECT DRIVE, MARTELL, CA 95645(209) 268-0560(209) 214-6946 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2022, Nov 29, 2017, Sep 19, 2017 and 1 more (4 updates tracked since 2017).

About Wellspace Health NPPES

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

WELLSPACE HEALTH (NPI 1225550874) is a healthcare organization registered as a federally qualified health center (fqhc) in Martell, California and active in the NPI registry since July 2017. The organization lists Alasdair Jonathan Porteus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1225550874
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWELLSPACE HEALTH
Location Address11333 PROSPECT DRIVEMartell, CA 95645-9998
Mailing Address777 12th St Ste 250Sacramento, CA 95814-1929 · (916) 550-5481
Fax(209) 214-6946
Organization SubpartYes
Authorized OfficialAlasdair Jonathan PorteusChief Executive Officer · (916) 313-8413
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 23, 20224 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1225550874 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
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
11333 PROSPECT DRIVE, Martell, CA 95645

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

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 1225550874. It was assigned to this organization in the NPPES registry on July 14, 2017.

Where is Wellspace Health located?

Wellspace Health is located at 11333 Prospect Drive, Martell, CA 95645. The listed phone number is (209) 268-0560.

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 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.