Organization Active NPI

Buddhist Tzu CHI Medical Foundation

  • Federally Qualified Health Center (FQHC)
  • Alhambra, CA
National Provider Identifier
1639398704
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BUDDHIST TZU CHI MEDICAL FOUNDATION
Practice address
1000 S. Garfield Ave.
Alhambra, CA 91801-4709
Phone
(626) 281-3383
Fax
(855) 710-5853
NPI assigned
Apr 25, 2007
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Stephen P Denq, MDNPI 1568533073
Title
Ceo/Cmo
Phone
(626) 866-9858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1000 S. Garfield Ave.
Alhambra, CA 91801-4709

Mailing address

9620 Flair Dr
El Monte, CA 91731-3005
Phone (626) 427-9598

Other practice location 1

10414 Vacco St
South El Monte, CA 91733-3350
Phone (626) 281-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20180926001998 CA Part B Supplier - Clinic/Group Practice 0941551261 Receives reassigned benefits from 8 practitioners
Practice locations: Alhambra, CA; S El Monte, CA
O20230517003251 CA Part A Provider - Federally Qualified Health Center (FQHC) 0941551261 Practice locations: S El Monte, CA
O20230518001786 CA Part A Provider - Federally Qualified Health Center (FQHC) 0941551261 Practice locations: Alhambra, CA
O20230518002693 CA Part A Provider - Federally Qualified Health Center (FQHC) 0941551261 Practice locations: Wilmington, CA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1639398704. Details of each certification follow.

Federally qualified health center certification: CCN A01160

Legal name
BUDDHIST TZU CHI MEDICAL FOUNDATION
Doing business as
BUDDHIST TZU CHI HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 26, 2023
Last certification
Jun 26, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
10414 Vacco St
S El Monte, CA 91733-3350

Federally qualified health center certification: CCN A01163

Legal name
BUDDHIST TZU CHI MEDICAL FOUNDATION
Doing business as
BUDDHIST TZU CHI HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 26, 2023
Last certification
Jun 26, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1000 S Garfield Ave
Alhambra, CA 91801-4709

Federally qualified health center certification: CCN A01185

Legal name
BUDDHIST TZU CHI MEDICAL FOUNDATION
Doing business as
BUDDHIST TZU CHI HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 26, 2023
Last certification
Jun 26, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1355 Broad Ave
Wilmington, CA 90744-2648

National Provider Directory

National Provider Directory

Locations

10414 Vacco St
South El Monte, CA 91733
Phone (626) 281-3383

1355 Broad Ave
Wilmington, CA 90744
Phone (310) 684-4466

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
Debra Boudreaux Individual Corporate DirectorBoard Member Jan 1, 2022 100%
Stephen Denq Individual Corporate OfficerChief Executive Officer Feb 1, 2021 100%
W-2 Managing EmployeeChief Executive Officer Feb 1, 2021 100%
Operational/Managerial ControlChief Executive Officer Feb 1, 2021 100%
Tim Chang Individual Corporate DirectorBoard Member May 1, 2017 100%
Shirley Chen Individual Corporate DirectorBoard Member Jan 1, 2021 100%
Joe C Huang Individual Corporate DirectorBoard Member Jul 1, 2019 100%
Raul Villegas Individual Corporate DirectorBoard Member May 1, 2018 100%
Chin Lon Lin Individual Corporate DirectorBoard Member May 1, 2017 100%
Rosa a Macias Individual Corporate DirectorBoard Member Jul 1, 2019 100%
Paulina C. Luan Individual Corporate DirectorBoard Member Jul 1, 2019 100%
Frank C Su Individual Corporate DirectorBoard Member May 1, 2017 100%
Linda Sun Individual Corporate DirectorBoard Member May 1, 2017 100%
Steven J Voon Individual Corporate OfficerChief Operation Officer Jul 22, 2022 100%
W-2 Managing EmployeeChief Operation Officer Jul 22, 2022 100%
Operational/Managerial ControlChief Operation Officer Jul 22, 2022 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1639398704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 FLAIR DR",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313005",
            "telephone_number": "626-427-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S. GARFIELD AVE.",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014709",
            "telephone_number": "626-281-3383",
            "fax_number": "855-710-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10414 Vacco St",
            "address_purpose": "LOCATION",
            "city": "South El Monte",
            "state": "CA",
            "postal_code": "917333350",
            "country_code": "US",
            "telephone_number": "626-281-3383",
            "fax_number": "855-710-5853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUDDHIST TZU CHI MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "DENQ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "626-866-9858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.