WELLSPACE HEALTH
NPI 1811262348
Clinic/Center - Federally Qualified Health Center (FQHC) in Roseville, CA

Active since March 16, 2012CLIA 05D2055670 · Waiver
5 MEDICAL PLAZA DR, SUITE 170, ROSEVILLE, CA 95661(916) 978-1738(916) 771-3377 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2022, Aug 18, 2017 (2 updates tracked since 2017).

About Wellspace Health NPPES

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

WELLSPACE HEALTH (NPI 1811262348) is a healthcare organization registered as a federally qualified health center (fqhc) in Roseville, California and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Alasdair Jonathan Porteus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1811262348
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWELLSPACE HEALTH
Location Address5 MEDICAL PLAZA DR, SUITE 170Roseville, CA 95661-2865
Mailing Address1820 J StSacramento, CA 95811-3010 · (916) 550-5481 · Fax (916) 822-8974
Fax(916) 771-3377
Organization SubpartNo
Authorized OfficialAlasdair Jonathan PorteusChief Executive Officer · (916) 737-5555
Enumeration DateMarch 16, 2012
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
✔ NPI 1811262348 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
5 MEDICAL PLAZA DR, Roseville, CA 95661

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. Of these, 1 practice at this address and 22 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
Nurse Practitioner
NPI 1346917416
5 MEDICAL PLAZA DR STE 170
Roseville, CA 95661
(916) 469-4690
✔ PECOSSame address
Pediatric Medicine
NPI 1316019136
1600 EUREKA RD
Roseville, CA 95661
(916) 784-4000
✔ PECOS0.5 mi
Internal Medicine
NPI 1508870650
5 MEDICAL PLAZA DR STE 170
Roseville, CA 95661
(916) 737-5555
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1972218832
8421 AUBURN BLVD # 162
Citrus Heights, CA 95610
(916) 441-3819
✔ PECOS2.4 mi
Internal Medicine
NPI 1003818055
7777 SUNRISE BLVD STE 2500
Citrus Heights, CA 95610
(916) 737-5555
✔ PECOS✔ Accepts Medicare2.5 mi
Internal Medicine
NPI 1104917913
5959 GREENBACK LN STE 500
Citrus Heights, CA 95621
(916) 725-1177
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1356898688
5959 GREENBACK LN STE 500
Citrus Heights, CA 95621
(916) 725-1177
✔ PECOS5.2 mi
Clinical Social Worker
NPI 1548635543
7806 UPLANDS WAY STE A
Citrus Heights, CA 95610
(916) 967-6253
✔ PECOS5.2 mi
Nurse Practitioner
NPI 1558053256
5959 GREENBACK LN STE 500
Citrus Heights, CA 95621
(916) 734-5444
✔ PECOS✔ Accepts Medicare5.5 mi
Nurse Practitioner
NPI 1073268405
5959 GREENBACK LN STE 500
Citrus Heights, CA 95621
(916) 737-5555
✔ PECOS5.5 mi
Nurse Practitioner
NPI 1932960549
5959 GREENBACK LN STE 500
Citrus Heights, CA 95621
(916) 737-5555
✔ PECOS5.5 mi
Nurse Practitioner
NPI 1093495004
5959 GREENBACK LN STE 500
Citrus Heights, CA 95621
(916) 737-5555
✔ PECOS5.5 mi
Pediatric Medicine
NPI 1619223534
1014 RILEY ST STE 5
Folsom, CA 95630
(530) 724-6269
✔ PECOS6.8 mi
Family Practice
NPI 1487676656
1710 PRAIRIE CITY RD STE 125
Folsom, CA 95630
(916) 737-5555
✔ PECOS7.7 mi
Marriage and Family Therapist
NPI 1245478254
1820 J ST
Sacramento, CA 95811
(916) 313-8432
✔ PECOS✔ Accepts Medicare8.9 mi
Clinical Social Worker
NPI 1346724499
1820 J ST
Sacramento, CA 95811
(916) 313-8433
✔ PECOS✔ Accepts Medicare8.9 mi
Clinical Social Worker
NPI 1083015457
1820 J ST
Sacramento, CA 95811
(916) 737-5555
✔ PECOS✔ Accepts Medicare8.9 mi
Internal Medicine
NPI 1669727046
1820 J ST
Sacramento, CA 95811
(916) 737-5555
✔ PECOS8.9 mi
Marriage and Family Therapist
NPI 1265073266
3650 AUBURN BLVD # C208
Sacramento, CA 95821
(916) 300-6576
✔ PECOS✔ Accepts Medicare9.7 mi
Marriage and Family Therapist
NPI 1851946172
954 KING GEORGE WAY
El Dorado Hills, CA 95762
(916) 296-7571
✔ PECOS9.9 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 05D2055670

Wellspace Health Roseville Community Health Center · Roseville, CA
Active · expires May 6, 2027
CLIA Number05D2055670
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorJanine Bera MD
Laboratory Phone(916) 978-1738
Laboratory LocationWellspace Health Roseville Community Health Center5 Medical Plaza Dr, Ste 170, Roseville, CA 95661
CLIA data matches this NPI record on: Address 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 1811262348. It was assigned to this organization in the NPPES registry on March 16, 2012.

Where is Wellspace Health located?

Wellspace Health is located at 5 Medical Plaza Dr Suite 170, Roseville, CA 95661. The listed phone number is (916) 978-1738.

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, 1 practice at this address and 22 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 05D2055670) is associated with this NPI, valid through May 6, 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 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.