NPIMap

Organization Active NPI

Wellspace Health

Doing business as WellSpace Health Roseville Women and Children's Community Health Cente

  • Federally Qualified Health Center (FQHC)
  • Roseville, CA
National Provider Identifier
1063063600
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WELLSPACE HEALTH
Doing business as
WellSpace Health Roseville Women and Children's Community Health Cente
Practice address
151 N Sunrise Ave Ste 1309
Roseville, CA 95661-2933
Phone
(916) 469-4698
NPI assigned
Sep 25, 2019
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alasdair Jonathan Porteus PHD
Title
Chief Executive Officer
Phone
(916) 313-9413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

151 N Sunrise Ave Ste 1309
Roseville, CA 95661-2933

Mailing address

777 12TH St Ste 250
Sacramento, CA 95814-1929
Phone (916) 469-4698

Other names 1

  • WellSpace Health Roseville Women and Children's Community Health Cente Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wellspace Health Professional Health Center for Women42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

151 N Sunrise Ave
Ste 1309
Roseville, CA 95661
Phone (916) 469-4698

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1063063600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 12TH ST STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141929",
            "telephone_number": "916-469-4698",
            "fax_number": "916-313-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1309",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612933",
            "telephone_number": "916-469-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPACE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "PORTEUS PHD",
        "authorized_official_first_name": "ALASDAIR JONATHAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-313-9413"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpace Health Roseville Women and Children's Community Health Cente",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.