WELLSPACE HEALTH (NPI# 1669982237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669982237 |
| Entity Type | Organization |
| Organization Name | WELLSPACE HEALTH |
| Other Organization Name | WELLSPACE HEALTH GALT DENTAL CLINIC |
| Practice Address |
216 N Lincoln Way Ste 10 Galt CA 95632-1715 |
| Mailing Address |
777 12th St Ste 250 Sacramento CA 95814-1929 |
| Practice Telephone | 2092592090 |
| Practice Fax Number | 2092593008 |
| Mailing Telephone | 9165505481 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | ALASDAIR JONATHAN PORTEUS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9165505444 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WellSpace Health Galt Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546724 | Wellspace Health | Clinic/Center | 4241 Florin Rd Ste 30, Sacramento, CA 95823-2535 | 2019-03-08 |
| 1104210608 | Wellspace Health | Clinic/Center | 3535 65th St, Suite C, Sacramento, CA 95820-2057 | 2015-03-23 |
| 1265777692 | Wellspace Health | Clinic/Center | 631 H St, Sacramento, CA 95814 | 2012-12-12 |
| 1679819007 | Wellspace Health | Clinic/Center | 3415 Martin Luther King Jr. Blvd, Sacramento, CA 95817-3648 | 2012-12-12 |
| 1821357492 | Wellspace Health | Clinic/Center | 8231 E Stockton Blvd, Suite C, Sacramento, CA 95828-8202 | 2012-05-16 |
| 1225335581 | Wellspace Health | Clinic/Center | 5321 Stockton Blvd, Sacramento, CA 95820-5411 | 2011-02-23 |
| 1871617688 | Wellspace Health | Community/Behavioral Health | 1550 Juliesse Ave, Sacramento, CA 95817-3648 | 2007-03-19 |
| 1275687659 | Wellspace Health | Counselor | 8233 East Stockton Blvd., Suite D, Sacramento, CA 95817-3648 | 2007-01-22 |
| 1033295084 | Wellspace Health | Community/Behavioral Health | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841-4139 | 2006-10-31 |
| 1558446179 | Wellspace Health | Community/Behavioral Health | 4343 Williamsbourgh Drive, Sacramento, CA 95823-2006 | 2006-10-25 |
| Street Address |
216 N LINCOLN WAY STE 10 |
| City | GALT |
| State | CA |
| Zip Code | 95632-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547752 | Hanh Iwamura | Dentist | 216 N Lincoln Way Ste 10, Galt, CA 95632-1715 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598004905 | Francisca Beatriz Morgan | Case Manager/Care Coordinator | 240 Sasha Rose Dr, Galt, CA 95632 | 2013-02-05 |
| 1407181704 | Strategies for Change | Community/Behavioral Health | 12945 Marengo Road, Galt, CA 95632 | 2009-10-05 |
| 1801964721 | Rosewood Manor | Custodial Care Facility | 13386 Marengo Rd, Rosewood Manor, Galt, CA 95632 | 2006-11-30 |
| 1053418657 | Ronald T Oye | Optometrist | 730 Spaans Dr, Ste A, Galt, CA 95632 | 2006-09-19 |
| 1194197723 | Arti Sharma | Pharmacist | 10470 Twin Cities Rd, Galt, CA 95632 | 2015-10-22 |
| 1255493219 | Kaio Alan Doxey | Chiropractor | 550 Industrial Dr, Ste 250, Galt, CA 95632-1648 | 2006-12-15 |
| 1386713782 | Jesse Davis | Counselor | 409 N Lincoln Way Apt 7, Galt, CA 95632-1651 | 2006-11-07 |
| 1578505301 | Longs Drug Stores California LLC | Pharmacy | 1063 C St, Galt, CA 95632-1700 | 2006-06-13 |
| 1962032151 | Maily Vang | Pharmacist | 1063 C St, Galt, CA 95632-1700 | 2020-01-16 |
| 1790242642 | Tina Le | Pharmacist | 1063 C St, Galt, CA 95632-1700 | 2019-02-27 |
| Find all providers in zip 95632 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922591528 | Amr Enaya, Dds, Inc | Clinic/Center | 216 N Lincoln Way Ste 40, Galt, CA 95632-1715 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.