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WELLSPACE HEALTH SIERRA GARDENS 2 COMMUNITY HEALTH CENTER
NPI 1376188417
Clinic/Center - Federally Qualified Health Center (FQHC) in Roseville, CA

Active since November 13, 2019CLIA 05D2125524 · Waiver
151 N SUNRISE AVE STE 1309, ROSEVILLE, CA 95661(916) 737-5555 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Mar 11, 2022, Nov 13, 2019 (3 updates tracked since 2019).

About Wellspace Health Sierra Gardens 2 Community Health Center NPPES

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

WELLSPACE HEALTH SIERRA GARDENS 2 COMMUNITY HEALTH CENTER (NPI 1376188417) is a healthcare organization registered as a federally qualified health center (fqhc) in Roseville, California and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Alasdair Jonathan Porteus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1376188417
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWELLSPACE HEALTH
Location Address151 N SUNRISE AVE STE 1309Roseville, CA 95661-2933
Mailing Address777 12th St Ste 250Sacramento, CA 95814-1929 · (916) 469-4690 · Fax (916) 313-8452
Phone(916) 737-5555
Organization SubpartNo
Authorized OfficialAlasdair Jonathan PorteusChief Executive Officer · (916) 469-4690
Enumeration DateNovember 13, 2019
Last NPPES UpdateFebruary 27, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1376188417 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
151 N SUNRISE AVE STE 1309, Roseville, CA 95661
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Other Names 1

Doing Business AsWellspace Health Sierra Gardens 2 Community Health Center

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2125524

Wellspace Health Alhambra Community Health Center · Sacramento, CA
Active · expires Feb 7, 2027
CLIA Number05D2125524
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Janine W. Bera
Laboratory Phone(916) 469-4690
Laboratory LocationWellspace Health Alhambra Community Health Center2425 Alhambra Blvd, Sacramento, CA 95817
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLSPACE HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
151 N SUNRISE AVE STE 1309
ROSEVILLE, CA 95661
Placer County (916) 469-4698
TAJSIER HUGHES PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
151 N SUNRISE AVE STE 1309
ROSEVILLE, CA 95661
Placer County (916) 689-3433
URSULA K. HEMPSTEAD MD
Pediatrics
151 N SUNRISE AVE STE 1309
ROSEVILLE, CA 95661
Placer County (916) 737-5555
RHONETTE ESTELLE JACKSON M.D.
Pediatrics
151 N SUNRISE AVE STE 1309
ROSEVILLE, CA 95661
Placer County (916) 737-5555

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 1376188417. It was assigned to this organization in the NPPES registry on November 13, 2019. The provider is doing business as Wellspace Health Sierra Gardens 2 Community Health Center.

Where is Wellspace Health located?

Wellspace Health is located at 151 N Sunrise Ave Ste 1309, Roseville, CA 95661. The listed phone number is (916) 737-5555.

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.

Does Wellspace Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2125524) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellspace Health was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.