Organization · Type 2 NPI

Wellspace Health

Federally Qualified Health Center (FQHC) · West Sacramento, CA

NPI number 1295293330 Active

Practice location

2727 W Capitol Ave
West Sacramento, CA 95691-2220

Call (916) 371-2275 Map

Fax (916) 371-8649

Mailing address

777 12th St Ste 250
Sacramento, CA 95814-1929

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

River City Medical Group, Inc.Family Medicine Physician West Sacramento, CA NPI 1366550956
Esmeralda Torres Ramirez, DDSDentist West Sacramento, CA NPI 1558004721

Other federally qualified health center (fqhc) providers in West Sacramento

See all in West Sacramento →

NPI record

NPI: 1295293330
Entity type: Organization (Type 2)
Issued: Mar 7, 2019
Last updated: Mar 28, 2019
Status: Active

Other names

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Wellspace Health West Capitol Community Health · other name

Authorized official

Dr. Alasdair Jonathan Porteus, PHD.
Chief Executive Officer
(916) 313-8413

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295293330

Wellspace Health's National Provider Identifier is 1295293330, issued on Mar 7, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in West Sacramento, CA. The record was last updated on Mar 28, 2019.