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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: November 01, 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
Phone(209) 268-0560
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 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
11333 PROSPECT DRIVE, Martell, CA 95645
Open in Google Maps ↗

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. 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
Sean Benedict, PSY.D
Marriage and Family Therapist
NPI 1245478254
1820 J ST
Sacramento, CA 95811
(916) 313-8432
✔ PECOS✔ Accepts Medicare27 mi
Norman Kier, FNP-BC
Nurse Practitioner
NPI 1952912131
1820 J ST
Sacramento, CA 95811
(916) 737-5555
✔ PECOS27 mi
Anthony Martinez, LCSW
Clinical Social Worker
NPI 1346724499
1820 J ST
Sacramento, CA 95811
(916) 313-8433
✔ PECOS✔ Accepts Medicare27 mi
Gavin Mccluskey, LCSW, BCD
Clinical Social Worker
NPI 1083015457
1820 J ST
Sacramento, CA 95811
(916) 737-5555
✔ PECOS✔ Accepts Medicare27 mi
Christian Reyna, DO
Internal Medicine
NPI 1669727046
1820 J ST
Sacramento, CA 95811
(916) 737-5555
✔ PECOS27 mi
Olivia Wilson, MA, AMFT
Marriage and Family Therapist
NPI 1851946172
954 KING GEORGE WAY
El Dorado Hills, CA 95762
(916) 296-7571
✔ PECOS27 mi
Glenn Thiel, D.O.
Family Practice
NPI 1487676656
1710 PRAIRIE CITY RD STE 125
Folsom, CA 95630
(916) 737-5555
✔ PECOS28 mi
Kathy Yimer, M.D.
Pediatric Medicine
NPI 1619223534
1014 RILEY ST STE 5
Folsom, CA 95630
(530) 724-6269
✔ PECOS29 mi
Coleman Humbert, NP
Nurse Practitioner
NPI 1487146213
3201 DATA DR
Rancho Cordova, CA 95670
(916) 851-1440
✔ PECOS✔ Accepts Medicare30 mi
Sandra Sands-Solgi, D.O., PH.D.
Family Practice
NPI 1013065606
10423 OLD PLACERVILLE RD STE A
Sacramento, CA 95827
(916) 737-5555
✔ PECOS✔ Accepts Medicare31 mi
Vibha Jhawar
Oral Surgery
NPI 1013126622
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(167) 375-5555
✔ PECOS33 mi
Karl Reiber, M.D.
Pediatric Medicine
NPI 1770846784
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(916) 737-5555
✔ PECOS34 mi
Charles Harrod, M.D.
Internal Medicine
NPI 1669471868
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(916) 737-5555
✔ PECOS✔ Accepts Medicare34 mi
Tiffany Isles, MD
Obstetrics/Gynecology
NPI 1851509566
7601 HOSPITAL DR STE 220
Sacramento, CA 95823
(916) 737-5555
✔ PECOS34 mi
Olga Thorne, M.D.
Obstetrics/Gynecology
NPI 1144400656
7601 HOSPITAL DR STE 220
Sacramento, CA 95823
(916) 689-3433
✔ PECOS34 mi
I-Tsyr Shaw, MD
Endocrinology
NPI 1104026558
4241 FLORIN RD STE 30&40
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts Medicare37 mi
Risha Malik, MD
Endocrinology
NPI 1144758582
3415 MARTIN LUTHER KING JR BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS38 mi
Edward Au, DPM
Podiatry
NPI 1689978397
3441 MARYSVILLE BLVD
Sacramento, CA 95838
(916) 737-5555
✔ PECOS✔ Accepts Medicare38 mi
Brian Mackin, M.D.
Psychiatry
NPI 1144294349
2001 N ST STE 100
Sacramento, CA 95811
(916) 932-0380
✔ PECOS✔ Accepts Medicare39 mi
Michael Wilkes, M.D.
Rheumatology
NPI 1194040063
1 SHIELDS AVE
Davis, CA 95616
(530) 752-0321
✔ PECOS55 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 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.

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). 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.