NPIMap

Organization Active NPI

Herald Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • El Monte, CA
National Provider Identifier
1154901726
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HERALD CHRISTIAN HEALTH CENTER
Practice address
3401 Aero Jet Ave
El Monte, CA 91731-2801
Phone
(626) 286-8700
Fax
(626) 286-8650
NPI assigned
Apr 8, 2021
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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3401 Aero Jet Ave
El Monte, CA 91731-2801

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
O20210812002994 CA Part A Provider - Federally Qualified Health Center (FQHC) 0941337117 Practice locations: El Monte, CA

Federally qualified health center certification: CCN A01005

Legal name
HERALD CHRISTIAN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 12, 2021
Last certification
Aug 12, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2005 in CA
Enrollment address
3401 Aero Jet Ave
El Monte, CA 91731-2801

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 Center6 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.

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 OfficerCao Oct 1, 2006
W-2 Managing EmployeeCao Oct 1, 2006
Kit Man Shum Individual Corporate DirectorBoard of Directors Jan 1, 2011
John Duong Individual Corporate DirectorBoard of Directors Jan 1, 2014
Hsiao Fen Chen Individual Corporate DirectorBoard of Directors Jan 1, 2015
Saulan Carolin Eng Individual Corporate OfficerCeo Jan 1, 2006
W-2 Managing EmployeeCeo Jan 1, 2006
Margarita Chung Individual Corporate DirectorBoard of Directors Jan 1, 2010
Daniel Wong Individual Corporate DirectorChairman of Board of Directors Jun 1, 2007
Christina Hsu Individual Corporate DirectorVice Chair of Board of Directors Jan 1, 2011
Edward Ip Individual Corporate DirectorSecretary of Board of Directors Jan 1, 2011

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.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1154901726",
    "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": "3401 AERO JET AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312801",
            "telephone_number": "626-286-8700",
            "fax_number": "626-286-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERALD CHRISTIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71178F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.