Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TRI-STATE COMMUNITY HEALTHCARE CENTER
NPI 1497670947
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since August 12, 2026CLIA 05D2335003 · Waiver
6630 CRENSHAW BLVD, LOS ANGELES, CA 90043(213) 686-1517 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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 1497670947) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Aram Manoukian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497670947
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI-STATE COMMUNITY HEALTHCARE CENTER
Location Address6630 CRENSHAW BLVDLos Angeles, CA 90043-4102
Mailing Address6630 Crenshaw BlvdLos Angeles, CA 90043-4102 · (213) 686-1517
Organization SubpartYes
Authorized OfficialAram ManoukianCeo · (760) 326-0222
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1497670947 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
6630 CRENSHAW BLVD, Los Angeles, CA 90043

CLIA Laboratory Certificates CMS CLIA

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 05D2335003

Tri-State Community Healthcare Center · Los Angeles, CA
Active · expires Dec 3, 2027
CLIA Number05D2335003
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorJose Luis Perez
Laboratory Phone(213) 686-1517
Laboratory LocationTri-State Community Healthcare Center6630 Crenshaw Blvd, Los Angeles, CA 90043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1497670947. It was assigned to this organization in the NPPES registry on August 12, 2026.

Where is Tri-State Community Healthcare Center located?

Tri-State Community Healthcare Center is located at 6630 Crenshaw Blvd, Los Angeles, CA 90043. The listed phone number is (213) 686-1517.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2335003) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri-State Community Healthcare Center was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.