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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: August 16, 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
Phone(916) 978-1738
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 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
5 MEDICAL PLAZA DR, Roseville, CA 95661
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

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.

Other Providers at the Same Location NPPES 20

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

MARSHA J MONTBRIAND NURSE PRACTITIONER
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
CATHERINE E TAYLOR NURSE PRACTITIONER
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
ANTOINETTE T KHOWONG MEDICAL DOCTOR
Obstetrics & Gynecology (Obstetrics)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
VITREO-RETINAL MEDICAL GROUP, INC
Ophthalmology
5 MEDICAL PLAZA DR, SUITE 180
ROSEVILLE, CA 95661
Placer County (916) 454-4861
BRENT EDWARD VANHOOZEN M.D.
Internal Medicine (Pulmonary Disease)
5 MEDICAL PLAZA DR, SUITE 190
ROSEVILLE, CA 95661
Placer County (916) 786-7498
RHONDA LYNN LEE FNP
Nurse Practitioner (Family)
5 MEDICAL PLAZA DR, #210
ROSEVILLE, CA 95661
Placer County (916) 780-5477
LORNA ADOLFO, A PROFESSIONAL MEDICAL CORPORATION
Internal Medicine
5 MEDICAL PLAZA DR, STE# 110
ROSEVILLE, CA 95661
Placer County (916) 784-8070
W RANDY MARTIN M.D.
Internal Medicine (Pulmonary Disease)
5 MEDICAL PLAZA DR, SUITE 190
ROSEVILLE, CA 95661
Placer County (916) 786-7498

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.

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.