TRI-STATE COMMUNITY HEALTHCARE CENTER (NPI# 1952966301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952966301 |
| Entity Type | Organization |
| Organization Name | TRI-STATE COMMUNITY HEALTHCARE CENTER |
| Practice Address |
4137 Verdugo Rd Los Angeles CA 90065-3820 |
| Practice Telephone | 3239285052 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | NANA ANAHIT CHARAKCHYAN (BILLING MAMAGER) |
| Authorized Official Telephone | 8182430408 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-STATE COMMUNITY HEALTHCARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292839 | Tri-state Community Healthcare Center | Clinic/Center | 11328 Bartlett Ave Ste 3, Adelanto, CA 92301-1913 | 2020-07-15 |
| 1518424274 | Tri-state Community Healthcare Center | Clinic/Center | 1402 Bailey Ave Ste A, Needles, CA 92363-3104 | 2019-02-28 |
| 1841703253 | Tri-state Community Healthcare Center | Clinic/Center | 8700 S Highway 95, Mohave Valley, AZ 86440-8519 | 2017-11-07 |
| 1922356369 | Tri-state Community Healthcare Center | Clinic/Center | 1402 Bailey Ave, Needles, CA 92363-3104 | 2012-08-15 |
| 1699303628 | Tri-state Community Healthcare Center | Clinic/Center | 4137 Verdugo Rd, Los Angeles, CA 90065-3820 | 2020-03-27 |
| 1336646397 | Tri-state Community Healthcare Center | Clinic/Center | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2018-04-06 |
| 1023526084 | Tri-state Community Healthcare Center | Clinic/Center | 540 N San Jacinto St Ste P, Hemet, CA 92543-3154 | 2018-01-11 |
| 1508379017 | Tri-state Community Healthcare Center | Clinic/Center | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2017-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRI-STATE COMMUNITY HEALTHCARE CENTER | 1402 Bailey Avenue, Needles, CA 92363-3104 |
| Street Address |
4137 VERDUGO RD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90065-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093972317 | Parviz P Imani Md, Inc | Psychiatry & Neurology | 4137 Verdugo Rd, Los Angeles, CA 90065-3820 | 2008-05-22 |
| 1699303628 | Tri-state Community Healthcare Center | Clinic/Center | 4137 Verdugo Rd, Los Angeles, CA 90065-3820 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613177 | Carmela Hermann Dietrich | Massage Therapist | 546 Frontenac Avenue, Los Angeles, CA 90065 | 2018-06-21 |
| 1245421981 | Kerry Glen Thorne | Marriage & Family Therapist | 3374 Scarboro St, Los Angeles, CA 90065 | 2007-08-07 |
| 1275654311 | Cal Care Ambulance Service | Ambulance | 2829 N. San Fernando Rd #203, Los Angeles, CA 90065 | 2007-04-03 |
| 1053430116 | Feliza Perez | Rehabilitation Practitioner | 2677 1/2 202 Ave, Huntington Park, CA 90065 | 2007-03-28 |
| 1154475382 | Grace O Serrano | Dentist | 4146 Verdugo Rd, Los Angeles, CA 90065 | 2007-01-23 |
| 1265532519 | Dae H Song | Dentist | 3129 San Fernando Rd, Los Angeles, CA 90065 | 2006-09-25 |
| 1730289737 | Calox Inc | Durable Medical Equipment & Medical Supplies | 3034 Fierro Street, Los Angeles, CA 90065 | 2006-09-22 |
| 1093224131 | Andre Marderosian | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065 | 2017-09-20 |
| 1710345491 | Golden Van Rides Inc. | Non-emergency Medical Transport (VAN) | 3920 Eagle Rock Blvd, Suite C, Los Angeles, CA 90065 | 2016-02-09 |
| 1841467396 | Highland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2648 N Figueroa St, Los Angeles, CA 90065-1026 | 2008-05-14 |
| Find all providers in zip 90065 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1649896903 | Jwch Institute, Inc. | Clinic/Center | 964 N Vermont Ave, Los Angeles, CA 90029-3529 | 2020-06-23 |
| 1306461074 | Jwch Institute, Inc | Clinic/Center | 855 N Vermont Ave, Los Angeles, CA 90029-3516 | 2020-06-09 |
| 1578186144 | Universal Community Health Center | Clinic/Center | 5460 E Beverly Blvd, Los Angeles, CA 90022-2208 | 2020-05-18 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1225673262 | Complete Care Community Health Center, Inc | Clinic/Center | 1300 N Vermont Ave Ste 606, Los Angeles, CA 90027-6088 | 2019-11-13 |
| 1811548712 | Jwch Institute, Inc | Clinic/Center | 1670 E 120 Street, West Support Bldg #14 Fl 2, Los Angeles, CA 90059-3026 | 2019-09-23 |
| 1902453731 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 400, Los Angeles, CA 90057-2290 | 2019-08-26 |
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1083132849 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 220, Los Angeles, CA 90057-1993 | 2017-08-31 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90065 |
Please comment or provide details below to improve the information on TRI-STATE COMMUNITY HEALTHCARE CENTER.
| 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.