WELLSPACE HEALTH FLORIN COMMUNITY HEALTH CENTER
NPI 1720546724
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Active since March 08, 2019CLIA 05D0687138 · Waiver
4241 FLORIN RD STE 30, SACRAMENTO, CA 95823(916) 391-2229(916) 391-2291 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 11, 2022, Mar 8, 2019 (2 updates tracked since 2019).

About Wellspace Health Florin Community Health Center NPPES

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

WELLSPACE HEALTH FLORIN COMMUNITY HEALTH CENTER (NPI 1720546724) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Alasdair Jonathan Porteus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1720546724
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWELLSPACE HEALTH
Location Address4241 FLORIN RD STE 30Sacramento, CA 95823-2535
Mailing Address777 12th St Ste 250Sacramento, CA 95814-1929 · (916) 550-5481
Fax(916) 391-2291
Organization SubpartNo
Authorized OfficialAlasdair Jonathan PorteusChief Executive Officer · (916) 313-8413
Enumeration DateMarch 8, 2019
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
✔ NPI 1720546724 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
4241 FLORIN RD STE 30, Sacramento, CA 95823

Other Names 1

Other NameWellspace Health Florin 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

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 Florin Community Health Center 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 Florin Community Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 56 within 10 miles. 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
Internal Medicine
NPI 1821023862
4241 FLORIN RD STE 240
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1104026558
4241 FLORIN RD STE 30&40
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1598739161
7237 E SOUTHGATE DR SUITE C
Sacramento, CA 95823
(916) 392-2290
✔ PECOS1.2 mi
Obstetrics/Gynecology
NPI 1023384526
7601 HOSPITAL DR STE 220
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts Medicare3.2 mi
Obstetrics/Gynecology
NPI 1811335235
7601 HOSPITAL DR STE 220
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts Medicare3.2 mi
Obstetrics/Gynecology
NPI 1376717801
7601 HOSPITAL DR STE 220
Sacramento, CA 95823
(916) 689-3433
✔ PECOS3.2 mi
Obstetrics/Gynecology
NPI 1598843096
7601 HOSPITAL DR STE 250
Sacramento, CA 95823
(916) 737-5555
✔ PECOS✔ Accepts Medicare3.2 mi
Endocrinology
NPI 1144758582
3415 MARTIN LUTHER KING JR BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS3.3 mi
Family Practice
NPI 1144381351
3415 MARTIN LUTHER KING JR BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1548781123
4860 Y ST
Sacramento, CA 95817
(916) 734-3800
✔ PECOS✔ Accepts Medicare3.5 mi
Internal Medicine
NPI 1669471868
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(916) 737-5555
✔ PECOS✔ Accepts Medicare3.7 mi
Marriage and Family Therapist
NPI 1205215720
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(916) 737-5530
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1962907907
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(916) 737-5555
✔ PECOS✔ Accepts Medicare3.7 mi
Pediatric Medicine
NPI 1770846784
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(916) 737-5555
✔ PECOS3.7 mi
Oral Surgery
NPI 1013126622
8233 E STOCKTON BLVD STE D
Sacramento, CA 95828
(167) 375-5555
✔ PECOS3.8 mi
Internal Medicine
NPI 1235459793
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1932617669
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1871479402
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(408) 710-9982
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1023408010
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS4.2 mi
Pediatric Medicine
NPI 1518167667
2425 ALHAMBRA BLVD
Sacramento, CA 95817
(916) 737-5555
✔ PECOS4.2 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.

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 05D0687138

Wellspace Health Florin Community Health Center · Sacramento, CA
Active · expires Feb 13, 2028
CLIA Number05D0687138
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorJanine Bera, MD
Laboratory Phone(916) 391-2229
Laboratory LocationWellspace Health Florin Community Health Center4241 Florin Rd Ste 40, Sacramento, CA 95823
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1720546724. It was assigned to this organization in the NPPES registry on March 8, 2019. The provider is also known as Wellspace Health Florin Community Health Center.

Where is Wellspace Health located?

Wellspace Health is located at 4241 Florin Rd Ste 30, Sacramento, CA 95823. The listed phone number is (916) 391-2229.

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). Of these, 2 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellspace Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0687138) is associated with this NPI, valid through February 13, 2028. 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 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.