WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH CENTER
NPI 1811455819
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA
NPI Status: Active since March 08, 2019
Contact Information
3441 MARYSVILLE BLVD
SACRAMENTO, CA
ZIP 95838
Phone: (916) 563-7200
Fax: (916) 563-7220
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D0937737
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 12-21-2025
About WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Wellspace Health Del Paso Heights Community Health Center, a primary care provider established in Sacramento, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1811455819 assigned on March 2019. 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 Del Paso Heights Community Health Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Wellspace Health Del Paso Heights Community Health Center. The authorized official of this NPI record is Dr. Alasdair Jonathan Porteus Phd. (Chief Executive Officer)
- NPI
- 1811455819
- Provider Legal Name
- WELLSPACE HEALTH
- Other Organization Name
- WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838
- Location Phone
- (916) 563-7200
- Location Fax
- (916) 563-7220
- Mailing Address
- 777 12TH ST STE 250 SACRAMENTO, CA 95814
- Mailing Phone
- (916) 550-5481
- Mailing Fax
- (916) 563-7220
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2019
- Last Update Date
- 03-23-2022
- Code Navigator
A primary care provider (PCP) like Wellspace Health Del Paso Heights Community Health Center 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
- 05D0937737
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- December 22, 2023
- Certificate Expiration Date
- December 21, 2025
- Laboratory Director
- JANINE BERA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellspace Health Del Paso Heights Community Health Center 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.
Reviews for WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH CENTER
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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 | 4 | 5 | 5 | 8 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 8 | 5 | 10 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 8 + 5 + 1 + 0 + 8 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1811455819 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699750497 | YESSENNIA CANDELARIA MD Individual | Pediatrics | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7234 |
| 1639104649 | ANITA MAKOWSKI PAC Individual | Physician Assistant (Medical) | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7234 |
| 1346263001 | DR. LOWELL SUCKOW M.D Individual | Pediatrics | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7230 |
| 1326052663 | DR. RONALD GREENWOOD M.D Individual | Pediatrics | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7200 |
| 1407924913 | MARIA E STONER N.P. Individual | Nurse Practitioner (Primary Care) | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7230 |
| 1568666808 | DIRK HENDRIK VANMEURS M.D. Individual | Family Medicine | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7200 |
| 1639121486 | DR. MIGUEL A. LIZARRAGA M.D. Individual | Family Medicine | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7230 |
| 1215306436 | ANDREA SCONBERG Individual | Physician Assistant | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7229 |
| 1700991445 | RIVER CITY MEDICAL GROUP, INC. Organization | Family Medicine | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 563-7230 |
| 1689978397 | DR. EDWARD AU DPM Individual | Podiatrist | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 737-5555 |
| 1821754979 | KAITLYN ELIZABETH FAKOURI FNP-C Individual | Nurse Practitioner | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 737-5555 |
| 1104362052 | JESSICA PRICE CRNP Individual | Nurse Practitioner | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 469-4690 |
| 1134718802 | SAMANTHA GABRIELLE NIGRO PA-C Individual | Physician Assistant | 3441 MARYSVILLE BLVD SACRAMENTO, CA 95838 (916) 737-5555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811455819, enumerated in the NPI registry as an "organization" on March 08, 2019
The provider is located at 3441 Marysville Blvd Sacramento, Ca 95838 and the phone number is (916) 563-7200
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 05D0937737 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 08, 2019. 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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