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TRI-STATE COMMUNITY HEALTHCARE CENTER
NPI 1023526084
Clinic/Center - Federally Qualified Health Center (FQHC) in Hemet, CA

Active since January 11, 2018CLIA Certified · 2 labs
540 N SAN JACINTO ST STE P, HEMET, CA 92543(951) 929-4000 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Dec 3, 2019, Feb 28, 2019 and 1 more (4 updates tracked since 2018).

About Tri-state Community Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE COMMUNITY HEALTHCARE CENTER (NPI 1023526084) is a healthcare organization registered as a federally qualified health center (fqhc) in Hemet, California and active in the NPI registry since January 2018. The organization holds 2 active CLIA laboratory certificates and lists Crystale Mineros, Managed Care Director, as its authorized official.

NPPES Registry Identity

NPI1023526084
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI-STATE COMMUNITY HEALTHCARE CENTER
Location Address540 N SAN JACINTO ST STE PHemet, CA 92543-3154
Mailing Address540 N San Jacinto St Ste PHemet, CA 92543-3154 · (951) 929-4000
Phone(951) 929-4000
Organization SubpartYes
Authorized OfficialCrystale MinerosManaged Care Director · (323) 297-0884
Enumeration DateJanuary 11, 2018
Last NPPES UpdateApril 30, 20214 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1023526084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
540 N SAN JACINTO ST STE P, Hemet, CA 92543
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2065300

Tri-State Community Healthcare Center · Hemet, CA
Active · expires Sep 5, 2027
CLIA Number05D2065300
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorShahram S. Mirhashemi
Laboratory Phone(951) 929-4000
Laboratory LocationTri-State Community Healthcare Center540 N. San Jacinto St., Ste P, Hemet, CA 92543
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2336159

Tri-State Community Healthcare Center · Hemet, CA
Active · expires Dec 23, 2027
CLIA Number05D2336159
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorJose L. Perez
Laboratory Phone(951) 929-4000
Laboratory LocationTri-State Community Healthcare Center540 N San Jacinto Street Suite I, Hemet, CA 92543
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAUN P SUAREZ
Nurse Practitioner (Family)
540 N SAN JACINTO ST STE P
HEMET, CA 92543
Riverside County (951) 929-4000
NATHALIE TORRES ALFONSO FNP-C
Nurse Practitioner
540 N SAN JACINTO ST STE P
HEMET, CA 92543
Riverside County (951) 929-4000
MRS. NATALIE RAE GOODERMONT RN, MSN, FNP
Nurse Practitioner (Family)
540 N SAN JACINTO ST STE P
HEMET, CA 92543
Riverside County (951) 929-4000
SIDDIQA NAWAZ M.D.
Internal Medicine
540 N SAN JACINTO ST STE P
HEMET, CA 92543
Riverside County (951) 929-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Community Healthcare Center's NPI number?

The NPI number for Tri-State Community Healthcare Center is 1023526084. It was assigned to this organization in the NPPES registry on January 11, 2018.

Where is Tri-State Community Healthcare Center located?

Tri-State Community Healthcare Center is located at 540 N San Jacinto St Ste P, Hemet, CA 92543. The listed phone number is (951) 929-4000.

What is Tri-State Community Healthcare Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Tri-State Community Healthcare Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tri-State Community Healthcare Center was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.