DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WELLSPACE HEALTH

MEDICARE: WELLSPACE HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2171W00000XContractor
3251C00000XDevelopmentally Disabled Services Day Training Agency
4251X00000XSupports Brokerage Agency
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
6261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
7332U00000XHome Delivered Meals
8385H00000XRespite Care
93747P1801XPersonal Care Attendant
10261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1447332036
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLSPACE HEALTH
Provider Business Mailing Address
First Line : 1820 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-3010
Country : US
Telephone Number : 916-550-5481
Fax Number : 916-822-8974
Provider Business Practice Location Address
First Line : 8233 E STOCKTON BLVD STE D
Second Line :
City : SACRAMENTO
State : CA
Zip : 95828-8203
Country : US
Telephone Number : 916-368-3080
Fax Number : 916-822-8974
Authorized Official
Title or Position : CEO
Name : DR. ALASDAIR JONATHAN PORTEUS
Credential : PHD
Telephone Number : 916-737-5555
Provider Enumeration Date : 10/20/2006
Last Update Date : 03/23/2022

Similar Medicare Providers

1669471868 — CHARLES SCOTT HARROD M.D.
Practice Location Address:
8233 E STOCKTON BLVD STE D
SACRAMENTO, CA
95828-8203
Practice Phone: 916-737-5555
Practice Fax: 164-056-5519
1174570931 — NIDA NORA E MINIANO MD
Practice Location Address:
8233 E STOCKTON BLVD STE D
SACRAMENTO, CA
95828-8203
Practice Phone: 916-368-3080
Practice Fax: 916-405-6551
1538275839 — MISS KATHERINE SHIELDS CAMPBELL MFT
Practice Location Address:
8233 E STOCKTON BLVD STE D
SACRAMENTO, CA
95828-8203
Practice Phone: 916-236-4751
Practice Fax: 916-405-6551
1316007685 — MRS. ADEPEJU BOLANLE GEORGE P.A.
Practice Location Address:
8233 E STOCKTON BLVD STE D
SACRAMENTO, CA
95828-8203
Practice Phone: 916-368-3080
Practice Fax: 916-405-6551
1578686523 — MS. MARIELLE VAUGHN-HICKMAN M.A.
Practice Location Address:
8233 E STOCKTON BLVD , D
SACRAMENTO, CA
95828-8203
Practice Phone: 916-236-4700
Practice Fax: 916-405-6551
1013126622 — VIBHA JHAWAR
Practice Location Address:
8233 E STOCKTON BLVD STE D
SACRAMENTO, CA
95828-8203
Practice Phone: 167-375-5555
Practice Fax:

Directions to “WELLSPACE HEALTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.