NPIMap

Organization Active NPI

Herald Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • City of Industry, CA
National Provider Identifier
1063835213
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
550003224 Issued in CA
Legal business name
HERALD CHRISTIAN HEALTH CENTER
Practice address
1661 Hanover Rd Ste 103
City of Industry, CA 91748-1796
Phone
(626) 286-8700
Fax
(626) 286-8650
NPI assigned
Jan 23, 2014
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 550003224 CA Primary
Family Medicine Physician 207Q00000X 550000475 CA

Addresses

Primary practice location

1661 Hanover Rd Ste 103
City of Industry, CA 91748-1796

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
CMM71178FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160607001239 CA Part A Provider - Federally Qualified Health Center (FQHC) 0941337117 Practice locations: City of Industry, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063835213. Details of each certification follow.

Federally qualified health center certification: CCN 751875

Legal name
HERALD CHRISTIAN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 16, 2016
Last certification
Jun 16, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2005 in CA
Enrollment address
1661 Hanover Rd
Ste 103
City of Industry, CA 91748-1796

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Herald Christian Health Ctr6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Edward Wong Individual Corporate DirectorBoard Treasurer Jun 1, 2011
Herald Christian Health Center Organization, El Monte, CA Corporation, Non-profit Operational/Managerial Control Sep 16, 2015 100%
Emily Szeto Individual Corporate OfficerChief Administrative Officer Jun 1, 2007
W-2 Managing EmployeeChief Administrative Officer Oct 1, 2005
Kit Man Shum Individual Corporate DirectorBoard Member Jun 1, 2011
John Duong Individual Corporate DirectorBoard Member Jun 1, 2014
Hsiao Fen Chen Individual Corporate DirectorBoard Member Jun 1, 2015
Saulan Carolin Eng Individual Corporate OfficerCeo Jun 1, 2007
W-2 Managing EmployeeCeo Oct 1, 2005
Margarita Chung Individual Corporate DirectorBoard Member Jun 1, 2010
Daniel Wong Individual Corporate DirectorBoard Chair Jun 1, 2007
David Lee Individual Corporate DirectorBoard Member Jan 1, 2021
Christina Hsu Individual Corporate DirectorBoard Vice Chair Jun 1, 2011
Edward Ip Individual Corporate DirectorBoard Member Jun 1, 2011

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1063835213",
    "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": "1661 HANOVER RD STE 103",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481796",
            "telephone_number": "626-286-8700",
            "fax_number": "626-286-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERALD CHRISTIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "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": "550003224",
            "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": []
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.