NORTH EAST MEDICAL SERVICES (NPI# 1174754600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174754600 |
| Entity Type | Organization |
| Organization Name | NORTH EAST MEDICAL SERVICES |
| Other Organization Name | NORTH EAST MEDICAL SERVICES - SAN BRUNO AVENUE |
| Practice Address |
2574 San Bruno Ave San Francisco CA 94134-1505 |
| Mailing Address |
1520 Stockton St San Francisco CA 94133-3354 |
| Practice Telephone | 4153919686 |
| Mailing Telephone | 4153919686 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2010-02-17 |
| Authorized Official Name | MR. EDDIE CHAN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4153919686 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH EAST MEDICAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North East Medical Services - San Bruno Avenue | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1003445073 | North East Medical Services | PACE Provider Organization | 728 Pacific Ave Ste 201, San Francisco, CA 94133-4449 | 2020-04-02 |
| 1942844477 | North East Medical Services | Clinic/Center | 650 Polk St, San Francisco, CA 94102-3328 | 2019-10-28 |
| 1407490931 | North East Medical Services | Clinic/Center | 1443 Ocean Ave, San Francisco, CA 94112-1731 | 2019-10-28 |
| 1447810734 | North East Medical Services | Clinic/Center | 3431 Taraval St, San Francisco, CA 94116-2050 | 2019-06-18 |
| 1154984508 | North East Medical Services | Acupuncturist | 728 Pacific Ave Ste 403, San Francisco, CA 94133-4449 | 2019-04-20 |
| 1891254603 | North East Medical Services | Acupuncturist | 728 Pacific Ave Ste 503, San Francisco, CA 94133-4449 | 2019-03-19 |
| 1275017691 | North East Medical Services | Clinic/Center | 1422 Noriega St, San Francisco, CA 94122-4432 | 2018-09-21 |
| 1982064549 | North East Medical Services | Pharmacy | 1019 Clement St, San Francisco, CA 94118-2112 | 2016-02-25 |
| 1457658734 | North East Medical Services | Clinic/Center | 2308 Taraval St, San Francisco, CA 94116-2252 | 2011-02-22 |
| Street Address |
2574 SAN BRUNO AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94134-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851470611 | Ted Yitao Li | Internal Medicine | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2006-11-03 |
| 1174162044 | Jian Ming Jimmy Wang | Registered Nurse | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2019-12-24 |
| 1205392552 | Eland Yu | Pharmacist | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2019-02-12 |
| 1316411580 | Stephanie Wing-huen Tsui | Pharmacist | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2019-01-21 |
| 1225536485 | Lluvia Chan | Registered Nurse | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2018-01-23 |
| 1427423052 | Theresa Yim | Physician Assistant | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2015-12-08 |
| 1285001784 | Karen Mei | Dentist | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2015-09-01 |
| 1356755755 | Anna W.y. Szeto | Optometrist | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2014-06-13 |
| 1972842904 | Yitin Chen | Family Medicine | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2013-02-12 |
| 1649525437 | Anna Ngo | Physician Assistant | 2574 San Bruno Ave, San Francisco, CA 94134-1505 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663990 | Maricela Medina Gonzalez | Counselor | Alternative Family Services, 250 Executive Park Blvd, San Francisco, CA 94134 | 2020-03-03 |
| 1245721562 | Jayla Linda Edwards | Behavioral Analyst | 1888 Geneva Ave Unit 714, San Francisco, CA 94134 | 2018-05-22 |
| 1104343201 | Moson Wong | Physical Therapy Assistant | 1526 Visitacion Ave, San Francisco, CA 94134 | 2017-08-29 |
| 1174908271 | Paola Christina Martins Johnson | Counselor | 250 Executive Park Blvd., Suite 4900, San Francisco, CA 94134 | 2015-07-30 |
| 1578900452 | Lydia Hui-ling Chan | Internal Medicine | 2674 San Bruno Avenue, San Francisco, CA 94134 | 2013-05-31 |
| 1285929034 | Alternative Family Services | Counselor | 2500 Executive Park Boulevard, San Francsico, CA 94134 | 2011-06-09 |
| 1497902647 | Aurora Concepcion | Community Based Residential Treatment Facility, Mental Illness | 1821 Silliman St., San Francisco, CA 94134 | 2008-08-19 |
| 1750503926 | Miriam Toveg | Acupuncturist | 1085 Valencia Streetsan Francisco, San Francisco, CA 94134 | 2007-05-03 |
| 1427272293 | James William Hopkins | Registered Nurse | 46 Wabash Terrace, San Francisco, CA 94134 | 2007-04-12 |
| 1669546677 | Philip Chow | Pediatrics | 2574 San Bruno Avenue, San Francisco, CA 94134 | 2006-11-20 |
| Find all providers in zip 94134 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1942844477 | North East Medical Services | Clinic/Center | 650 Polk St, San Francisco, CA 94102-3328 | 2019-10-28 |
| 1407490931 | North East Medical Services | Clinic/Center | 1443 Ocean Ave, San Francisco, CA 94112-1731 | 2019-10-28 |
| 1447810734 | North East Medical Services | Clinic/Center | 3431 Taraval St, San Francisco, CA 94116-2050 | 2019-06-18 |
| 1275017691 | North East Medical Services | Clinic/Center | 1422 Noriega St, San Francisco, CA 94122-4432 | 2018-09-21 |
| 1467810747 | Marin City Health and Wellness Center | Clinic/Center | 6301 3rd St, San Francisco, CA 94124-3501 | 2016-02-02 |
| 1497094858 | City & County of San Francisco | Clinic/Center | 220 Golden Gate Ave, San Francisco, CA 94102-3795 | 2013-02-05 |
| 1598044166 | San Francisco Medical Center Outpatient Improvement Programs, Inc | Clinic/Center | 66 9th St, San Francisco, CA 94103-1427 | 2011-08-12 |
| 1457658734 | North East Medical Services | Clinic/Center | 2308 Taraval St, San Francisco, CA 94116-2252 | 2011-02-22 |
| 1508172842 | Mission Area Health Associates | Clinic/Center | 165 Capp St, San Francisco, CA 94110-1209 | 2010-08-24 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94134 |
Please comment or provide details below to improve the information on NORTH EAST MEDICAL SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.