NPIMap

Organization Active NPI

North East Medical Services

  • PACE Provider Organization
  • San Francisco, CA
National Provider Identifier
1003445073
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
NORTH EAST MEDICAL SERVICES
Practice address
728 Pacific Ave Ste 201
San Francisco, CA 94133-4449
Phone
(415) 391-9686
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Eddie W Chan
Title
President & Ceo
Phone
(415) 391-9686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

728 Pacific Ave Ste 201
San Francisco, CA 94133-4449

Mailing address

2171 Junipero Serra Blvd Ste 700
Daly City, CA 94014-1982
Phone (415) 391-9686

Other practice location 1

728 Pacific Ave Ste 200
San Francisco, CA 94133-4449
Phone (415) 352-5050

National Provider Directory

National Provider Directory
Tax ID family
North East Medical Services57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

728 Pacific Ave
Ste 201
San Francisco, CA 94133

728 Pacific Ave
Ste 200
San Francisco, CA 94133
Phone (415) 333-8909

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1003445073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JUNIPERO SERRA BLVD STE 700",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141982",
            "telephone_number": "415-391-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334449",
            "telephone_number": "415-391-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Pacific Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941334449",
            "country_code": "US",
            "telephone_number": "415-352-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH EAST MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "415-391-9686"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.