WELLSPACE HEALTH
NPI 1861942849
Clinic/Center - Federally Qualified Health Center (FQHC) in North Highlands, CA

Active since October 13, 2016CLIA 05D2039438 · Waiver
6015 WATT AVE, #2, NORTH HIGHLANDS, CA 95660(916) 679-3925(916) 679-3928 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wellspace Health NPPES

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

WELLSPACE HEALTH (NPI 1861942849) is a healthcare organization registered as a federally qualified health center (fqhc) in North Highlands, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Jessica Gomez, Mha-i, as its authorized official.

NPPES Registry Identity

NPI1861942849
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWELLSPACE HEALTH
Location Address6015 WATT AVE, #2North Highlands, CA 95660-4294
Mailing Address1820 J StSacramento, CA 95811-3010 · (916) 550-5481 · Fax (916) 822-8974
Fax(916) 679-3928
Organization SubpartNo
Authorized OfficialJessica GomezMha-i · (916) 679-3925
Enumeration DateOctober 13, 2016
NPI 1861942849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
6015 WATT AVE, North Highlands, CA 95660

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 05D2039438

Wellspace Health North Highlands Community Health Center · North Highlands, CA
Active · expires Jul 8, 2027
CLIA Number05D2039438
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDr. Janine W. Bera
Laboratory Phone(916) 679-3925
Laboratory LocationWellspace Health North Highlands Community Health Center6015 Watt Ave Ste 2, North Highlands, CA 95660
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 6

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

Marriage & Family Therapist
6015 WATT AVE, SUITE # 2
SACRAMENTO, CA 95660
Social Worker (Clinical)
6015 WATT AVE, SUITE 2
NORTH HIGHLANDS, CA 95660
Marriage & Family Therapist
6015 WATT AVE, SUITE #2
NORTH HIGHLANDS, CA 95660
Dentist
6015 WATT AVE
NORTH HIGHLANDS, CA 95660
Dentist (General Practice)
6015 WATT AVE, SUITE #2
NORTH HIGHLANDS, CA 95660
Clinic/Center (Federally Qualified Health Center (FQHC))
6015 WATT AVE, STE 2
NORTH HIGHLANDS, CA 95660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861942849, enumerated as an "organization" on October 13, 2016.

The provider is located at 6015 WATT AVE #2 NORTH HIGHLANDS, CA 95660 and the phone number is (916) 679-3925.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).