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
5261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
6332U00000XHome Delivered Meals
73747P1801XPersonal Care Attendant
8385H00000XRespite Care
9261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1730643990
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLSPACE HEALTH
Provider Business Mailing Address
First Line : 777 12TH ST STE 250
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-1929
Country : US
Telephone Number : 916-550-5481
Fax Number : 916-520-3921
Provider Business Practice Location Address
First Line : 7777 SUNRISE BLVD STE 2500
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-2372
Country : US
Telephone Number : 916-722-2227
Fax Number : 877-860-5422
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. ALASDAIR JONATHAN PORTEUS
Credential : PHD.
Telephone Number : 916-313-8413
Provider Enumeration Date : 01/22/2019
Last Update Date : 03/23/2022

Similar Medicare Providers

1003818055 — RICHARD B. D. CHUN M.D.
Practice Location Address:
7777 SUNRISE BLVD STE 2500
CITRUS HEIGHTS, CA
95610-2372
Practice Phone: 916-737-5555
Practice Fax: 916-880-5430
1669401386 — DR. KULVINDER SINGH BOPARAI M.D.
Practice Location Address:
7777 SUNRISE BLVD STE 2500
CITRUS HEIGHTS, CA
95610-2372
Practice Phone: 916-646-1200
Practice Fax: 877-860-2703
1255446464 — MOLINA HEALTHCARE OF CALIFORNIA
Practice Location Address:
7777 SUNRISE BLVD STE 2500
CITRUS HEIGHTS, CA
95610-2372
Practice Phone: 916-722-2227
Practice Fax: 877-860-5422
1417261165 — ANNA PETRIK
Practice Location Address:
7777 SUNRISE BLVD STE 2500
CITRUS HEIGHTS, CA
95610-2372
Practice Phone: 916-737-5555
Practice Fax:
1205178506 — PRIYADHARSHINI NARAYANAN MD
Practice Location Address:
7777 SUNRISE BLVD STE 2500
CITRUS HEIGHTS, CA
95610-2372
Practice Phone: 916-737-5555
Practice Fax:
1700851896 — DR. POLINA VOLODARSKAYA DO
Practice Location Address:
7777 SUNRISE BLVD. #2500
CITRUS HEIGHTS, CA
98610-2372
Practice Phone: 916-722-2227
Practice Fax: 877-860-5422

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.