WELLSPACE HEALTH
NPI 1811262348
Clinic/Center - Federally Qualified Health Center (FQHC) in Roseville, CA
NPI Status: Active since March 16, 2012
Contact Information
5 MEDICAL PLAZA DR
SUITE 170
ROSEVILLE, CA
ZIP 95661
Phone: (916) 978-1738
Fax: (916) 771-3377
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D1102479
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 03-16-2026
About WELLSPACE HEALTH
This page provides the complete NPI Profile along with additional information for Wellspace Health, a primary care provider established in Roseville, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1811262348 assigned on March 2012. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Wellspace Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Alasdair Jonathan Porteus Phd (Chief Executive Officer)
- NPI
- 1811262348
- Provider Name
- WELLSPACE HEALTH
- Entity Type
- Organization
- Location Address
- 5 MEDICAL PLAZA DR SUITE 170 ROSEVILLE, CA 95661
- Location Phone
- (916) 978-1738
- Location Fax
- (916) 771-3377
- Mailing Address
- 1820 J ST SACRAMENTO, CA 95811
- Mailing Phone
- (916) 550-5481
- Mailing Fax
- (916) 771-3377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2012
- Last Update Date
- 03-23-2022
- Code Navigator
A primary care provider (PCP) like Wellspace Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 171W00000X | Other Service Providers | Contractor | |
| 3 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| 4 | 251X00000X | Agencies | Supports Brokerage | |
| 5 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 332U00000X | Suppliers | Home Delivered Meals | |
| 7 | 3747P1801X | Nursing Service Related Providers | Technician | |
| 8 | 385H00000X | Respite Care Facility | Respite Care |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1102479
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- March 17, 2024
- Certificate Expiration Date
- March 16, 2026
- Laboratory Director
- DR. JANINE W. BERA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellspace Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 2 | 6 | 2 | 3 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 4 | 6 | 4 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 4 + 6 + 4 + 3 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1811262348 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831167543 | JACQUELINE HO MEDICAL DOCTOR Individual | Obstetrics & Gynecology | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1194793802 | BLAKE RICHARD LAMBOURNE MEDICAL DOCTOR Individual | Obstetrics & Gynecology | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1235107947 | HAROLD G BURTON MEDICAL DOCTOR Individual | Obstetrics & Gynecology (Gynecology) | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1033187752 | CATHERINE E TAYLOR NURSE PRACTITIONER Individual | Nurse Practitioner (Obstetrics & Gynecology) | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1003884727 | MARSHA J MONTBRIAND NURSE PRACTITIONER Individual | Nurse Practitioner (Obstetrics & Gynecology) | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1477521235 | DAVID HAROLD SCATES MEDICAL DOCTOR Individual | Obstetrics & Gynecology | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1386612083 | DINA MARIE CANAVERO MEDICAL DOCTOR Individual | Obstetrics & Gynecology | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1568429660 | RICHARD JOEL LEACH MEDICAL DOCTOR Individual | Obstetrics & Gynecology (Gynecology) | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1881867620 | SANDRA JO SMITH ARDMS Individual | Radiologic Technologist (Sonography) | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1457513442 | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP Organization | Surgery | 5 MEDICAL PLAZA DR 180 ROSEVILLE, CA 95661 (916) 791-8346 |
| 1891947859 | ROLF N. GULBRANDSON, M.D., INC. Organization | Specialist | 5 MEDICAL PLAZA DR SUITE 120 ROSEVILLE, CA 95661 (916) 782-2500 |
| 1750526083 | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC Organization | Obstetrics & Gynecology (Gynecologic Oncology) | 5 MEDICAL PLAZA DR 130 ROSEVILLE, CA 95661 (916) 797-1222 |
| 1871822072 | ROSEVILLE UROLOGY, INC. Organization | Urology | 5 MEDICAL PLAZA DR SUITE 250 ROSEVILLE, CA 95661 (916) 782-2229 |
| 1073884045 | VITREO-RETINAL MEDICAL GROUP, INC Organization | Ophthalmology | 5 MEDICAL PLAZA DR SUITE 180 ROSEVILLE, CA 95661 (916) 454-4861 |
| 1164796546 | LORNA ADOLFO, A PROFESSIONAL MEDICAL CORPORATION Organization | Internal Medicine | 5 MEDICAL PLAZA DR STE# 110 ROSEVILLE, CA 95661 (916) 784-8070 |
| 1831131895 | ALAN PAUL CUBRE M.D. Individual | Internal Medicine (Pulmonary Disease) | 5 MEDICAL PLAZA DR SUITE 190 ROSEVILLE, CA 95661 (916) 786-7498 |
| 1891737946 | PAUL A BILUNOS M.D. Individual | Internal Medicine | 5 MEDICAL PLAZA DR SUIRE 190 ROSEVILLE, CA 95661 (916) 786-7498 |
| 1174566566 | W RANDY MARTIN M.D. Individual | Internal Medicine (Pulmonary Disease) | 5 MEDICAL PLAZA DR SUITE 190 ROSEVILLE, CA 95661 (916) 786-7498 |
| 1184965725 | DR. MARK DRAKE D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 5 MEDICAL PLAZA DR 110 ROSEVILLE, CA 95661 (916) 782-3444 |
| 1114323912 | RHONDA LYNN LEE FNP Individual | Nurse Practitioner (Family) | 5 MEDICAL PLAZA DR #210 ROSEVILLE, CA 95661 (916) 780-5477 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811262348, enumerated in the NPI registry as an "organization" on March 16, 2012
The provider is located at 5 Medical Plaza Dr Suite 170 Roseville, Ca 95661 and the phone number is (916) 978-1738
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 05D1102479 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 16, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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