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Tri-State Community Healthcare Center

Clinic/Center, Federally Qualified Health Center (FQHC) in Lake Elsinore, CA. Organization (NPI-2).

NPI number1326974643
StatusActive
Last updated in NPPESJul 9, 2026

Details

NPI
1326974643
Entity type
Organization (NPI-2)
Legal business name
Tri-State Community Healthcare Center
Organization subpart
Yes
Enumeration date
Jun 23, 2026
Certification date
Jul 9, 2026
Last updated
Jul 9, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Practice location

31739 Riverside Dr Ste A1
Lake Elsinore, CA 92530-7818

Phone 951-245-0505 · Fax 951-245-0999

Mailing address

1535 E Colorado St
Glendale, CA 91205-1513

Phone 747-221-3530

Authorized official

Aram Manoukian
Ceo
7603260222

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Federally Qualified Health Center (FQHC) providers in Lake Elsinore, CA

All 6 Federally Qualified Health Center (FQHC) providers in Lake Elsinore · All 1,060 providers in Lake Elsinore

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