NPIMap

Organization Active NPI

Wellspring Integrative Health Inc.

  • Clinic/Center
  • Sacramento, CA
National Provider Identifier
1881969350
Registry record updated Mar 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G66302 Issued in CA
Legal business name
WELLSPRING INTEGRATIVE HEALTH INC.
Practice address
2701 I St
Sacramento, CA 95816-4309
Phone
(916) 955-4095
Fax
(855) 865-7548
NPI assigned
Mar 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2012

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

Authorized official

Name
Dr. Glayol Sahba, M.D.
Title
President
Phone
(916) 955-4095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G66302 CA Primary

Addresses

Primary practice location

2701 I St
Sacramento, CA 95816-4309

Mailing address

2701 I St
Sacramento, CA 95816-4309
Phone (916) 955-4095

National Provider Directory

National Provider Directory

Locations

2701 I St
Sacramento, CA 95816
Phone (916) 903-3462

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331942400000",
    "number": "1881969350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 I ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164309",
            "telephone_number": "916-955-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 I ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164309",
            "telephone_number": "916-955-4095",
            "fax_number": "855-865-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING INTEGRATIVE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-17",
        "last_updated": "2012-03-17",
        "status": "A",
        "authorized_official_last_name": "SAHBA",
        "authorized_official_first_name": "GLAYOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-955-4095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G66302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2012; 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.