NORTH EAST MEDICAL SERVICES NPI 1518911304

NPI Information

NPI: 1518911304
Provider Name: NORTH EAST MEDICAL SERVICES

Doing Business As: NORTH EAST MEDICAL SERVICES - STOCKTON

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1520 STOCKTON STREET
SAN FRANCISCO, CA
ZIP 94133
Phone: (415) 391-9686
Get Directions

NORTH EAST MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in San Francisco, CA. NORTH EAST MEDICAL SERVICES NPI is 1518911304. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North East Medical Services - Stockton.

The provider's business location address is:

1520 STOCKTON STREET
SAN FRANCISCO, CA
ZIP 94133-354
Phone: (415) 391-9686
Fax: (415) 433-4726

The provider's authorized official is Eddie W Chan .
The authorized official title is President & Ceo and has the following contact phone number (415) 391-9686.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	251X00000X	Supports Brokerage				No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	220000118	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	FHC11007F	MEDICAID	CALIFORNIA
2	GR0028720	MEDICAID	CALIFORNIA
3	EAP11007F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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