Tristar

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRISTAR

Practice address

28844 Somme CT
Menifee, CA 92584-8974

Phone

(951) 378-8552

NPI assigned

Mar 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paulette Ann Gorsuch, PHD

Title

Director

Phone

(951) 378-8552

Specialties & licenses 1

Addresses

Other names 1

• Ravenwood Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1831412477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28844 SOMME CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848974",
            "telephone_number": "951-378-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28844 SOMME CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848974",
            "telephone_number": "951-378-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "GORSUCH",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-378-8552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neisha Tucker
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• Community/Behavioral Health Agency in Menifee, CA
• Providers in Menifee, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.