NORTH EAST MEDICAL SERVICES (NPI# 1275017691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275017691 |
| Entity Type | Organization |
| Organization Name | NORTH EAST MEDICAL SERVICES |
| Practice Address |
1422 Noriega St San Francisco CA 94122-4432 |
| Mailing Address |
1520 Stockton St San Francisco CA 94133-3354 |
| Practice Telephone | 4153919686 |
| Mailing Telephone | 4153919686 |
| Mailing Fax Number | 4154334726 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | EDDIE W CHAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 4153919686 |
| 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 - 1422 Noriega | Doing Business As Name - 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 |
| 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 |
| 1982784740 | North East Medical Services | Clinic/Center | 1450 Noriega St, San Francisco, CA 94122-4432 | 2006-10-16 |
| Street Address |
1422 NORIEGA ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94122-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204347 | Christina Michelle Catalano | Physical Therapist | 764 18th Ave, East Brunswick, NJ 94122 | 2020-04-23 |
| 1528536877 | Marnie Kagan Weston | Psychologist | 1300 25th Avenue, Suite 100, San Francisco, CA 94122 | 2018-11-05 |
| 1649785510 | Maria Elena Williams | Registered Nurse | 1755 27th Ave., San Francisco, CA 94122 | 2017-12-13 |
| 1831608264 | Robert Kim | Ophthalmology | 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 | 2017-09-28 |
| 1558889378 | Brittyn Coleman Nutrition | Dietitian, Registered | 1410 Funston Ave # 1, San Francisco, CA 94122 | 2017-08-31 |
| 1295251635 | Mary Bernadette Flynn | Doula | 1738 23rd Ave, San Francisco, CA 94122 | 2017-08-17 |
| 1740710524 | Kimberly Sui Fan Fung | Registered Nurse | 1279 22nd Ave, San Francisco, CA 94122 | 2017-06-14 |
| 1902335417 | Nadia Fakhoury | Chiropractor | 4027 Judah St, San Francisco, CA 94122 | 2017-06-08 |
| 1124567383 | Demi Pham | Dentist | 2040 Judah St, San Francisco, CA 94122 | 2017-02-21 |
| 1932642998 | Michelle Avonelle Hanley-mills | Counselor | 1326 4th Avenue, San Francisco, CA 94122 | 2016-11-23 |
| Find all providers in zip 94122 | ||||
| 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 |
| 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 |
| 1528136389 | Mission Area Health Associates | Clinic/Center | 4434 Mission St, San Francisco, CA 94112-1927 | 2006-12-01 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94122 |
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.