NPIMap

Organization Active NPI

Herald Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
National Provider Identifier
1669907135
Registry record updated Jan 15, 2025
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
7808 Clairemont Mesa Blvd
San Diego, CA 92111-1613
Phone
(858) 598-6789
Fax
(858) 598-6720
NPI assigned
Apr 21, 2017
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Ms. Emily Szeto
Title
Chief Administrative 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

7808 Clairemont Mesa Blvd
San Diego, CA 92111-1613

Mailing address

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

Other practice location 1

4320 Genesee Ave Ste 103
San Diego, CA 92117-4900
Phone (858) 598-6789

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
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; San Gabriel, CA
O20190305003387 CA Part A Provider - Federally Qualified Health Center (FQHC) 0941337117 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669907135. Details of each certification follow.

Federally qualified health center certification: CCN 921116

Legal name
HERALD CHRISTIAN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 18, 2019
Last certification
Feb 18, 2019
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Aug 22, 2005 in CA
Enrollment address
7808 Clairemont Mesa Blvd
San Diego, CA 92111-1613

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
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

1661 Hanover Rd
Ste 103
City of Industry, CA 91748
Phone (626) 286-8700

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

7423 Newmark Ave
Rosemead, CA 91770
Phone (626) 286-8700

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

7808 Clairemont Mesa Blvd
San Diego, CA 92111
Phone (858) 384-2822

923 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 286-7018

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Stanlake Ye Individual Corporate DirectorBoard of Directors Jun 1, 2007
Emily Szeto Individual Corporate OfficerAdministrator Oct 1, 2006 25%
W-2 Managing EmployeeAdministrator Oct 1, 2006 25%
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 OfficerCoo Jan 1, 2006 25%
W-2 Managing Employee Jan 1, 2006 25%
Margarita Chung Individual Corporate DirectorBoard of Directors Jan 1, 2010
Daniel Wong Individual Corporate DirectorChairman of the Board Jun 1, 2007
David Lee Individual Corporate OfficerCeo Jun 1, 2007 50%
W-2 Managing Employee Jun 1, 2007 50%
Christina Hsu Individual Corporate DirectorVice Chair of Board of Directors Jan 1, 2011
Edward Ip Individual Corporate DirectorBoard 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.

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1669907135",
    "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": "7808 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111613",
            "telephone_number": "858-598-6789",
            "fax_number": "858-598-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Genesee Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921174900",
            "country_code": "US",
            "telephone_number": "858-598-6789",
            "fax_number": "858-598-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERALD CHRISTIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "SZETO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE 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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.