NPIMap

Organization Active NPI

Herald Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • San Gabriel, CA
National Provider Identifier
1033390273
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550000475 Issued in CA
Legal business name
HERALD CHRISTIAN HEALTH CENTER
Practice address
923 S San Gabriel Blvd
San Gabriel, CA 91776-2743
Phone
(626) 286-8700
Fax
(626) 286-8650
NPI assigned
Nov 15, 2007
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Ms. Emily Szeto
Title
Chief Administration Officer
Phone
(626) 286-8700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550000475 CA Primary
Family Medicine Physician 207Q00000X 550000475 CA

Addresses

Primary practice location

923 S San Gabriel Blvd
San Gabriel, CA 91776-2743

Mailing address

3401 Aero Jet Ave
El Monte, CA 91731-2801
Phone (626) 286-8700

Other identifiers 1

IdentifierTypeStateIssuer
CMM71178FMedicaidCA

Other names 1

  • Herald Christian Health Clinic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100420000308 CA Part B Supplier - Clinic/Group Practice 0941337117 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
Practice locations: San Diego, CA; San Gabriel, CA
O20141020001286 CA Part A Provider - Federally Qualified Health Center (FQHC) 0941337117 Practice locations: San Gabriel, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033390273. Details of each certification follow.

Federally qualified health center certification: CCN 751125

Legal name
HERALD CHRISTIAN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 15, 2014
Last certification
Oct 15, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2005 in CA
Enrollment address
923 S San Gabriel Blvd
San Gabriel, CA 91776-2847

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4282 Genesee Ave
Ste 102
San Diego, CA 92117
Phone (858) 430-1651

921 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 286-8700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFJBA

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emily Szeto Individual Corporate OfficerChief Administrative Officer Jan 1, 2021 1%
W-2 Managing EmployeeChief Administrative Officer Oct 1, 2005 1%
Kit Man Shum Individual Corporate DirectorBoard of Directors Jul 1, 2010
John Duong Individual Corporate DirectorBoard of Directors Sep 1, 2013
Hsiao Fen Chen Individual Corporate DirectorBoard of Directors Mar 1, 2015
Saulan Carolin Eng Individual Corporate OfficerCeo Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2006
Margarita Chung Individual Corporate DirectorBoard of Directors Jul 1, 2008
Daniel Wong Individual Corporate DirectorBoard of Directors May 1, 2007
Christina Hsu Individual Corporate DirectorVice Chair of Board of Directors May 1, 2010
Edward Ip Individual Corporate DirectorSecretary of Board of Directors Jul 1, 2010

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Herald Christian Health CenterRosemead, CA, CCN 751877 Federally qualified health center Operational/Managerial Control (100%) Aug 22, 2005
Herald Christian Health CenterCity of Industry, CA, CCN 751875 Federally qualified health center Operational/Managerial Control (100%) Sep 16, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1033390273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 AERO JET AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312801",
            "telephone_number": "626-286-8700",
            "fax_number": "626-286-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762743",
            "telephone_number": "626-286-8700",
            "fax_number": "626-286-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERALD CHRISTIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SZETO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "626-286-8700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550000475",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "550000475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71178F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herald Christian Health Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Herald Christian Health Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.