NORTH EAST MEDICAL SERVICES
NPI 1003445073
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Francisco, CA

Active since April 02, 2020CLIA 05D0596124 · Certificate of Compliance
728 PACIFIC AVE STE 201, SAN FRANCISCO, CA 94133(415) 391-9686 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 4, 2024, Apr 2, 2020 (2 updates tracked since 2020).

About North East Medical Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH EAST MEDICAL SERVICES (NPI 1003445073) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in San Francisco, California and active in the NPI registry since April 2020. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2026, maintains a secondary practice location in San Francisco, and lists Eddie W Chan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1003445073
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameNORTH EAST MEDICAL SERVICES
Location Address728 PACIFIC AVE STE 201San Francisco, CA 94133-4449
Mailing Address2171 Junipero Serra Blvd Ste 700Daly City, CA 94014-1982 · (415) 391-9686
Organization SubpartNo
Authorized OfficialEddie W ChanPresident & Ceo · (415) 391-9686
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1003445073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
728 PACIFIC AVE STE 201, San Francisco, CA 94133

Secondary Practice Location 1

Location 1728 Pacific Ave Ste 200San Francisco, CA 94133-4449 · Phone (415) 352-5050

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0596124

North East Medical Services Inc · Daly City, CA
Active · expires Sep 30, 2026
CLIA Number05D0596124
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorKenneth Tai
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services Inc2171 Junipero Serra Blvd, Ste 400, Daly City, CA 94014
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North East Medical Services's NPI number?

The NPI number for North East Medical Services is 1003445073. It was assigned to this organization in the NPPES registry on April 2, 2020.

Where is North East Medical Services located?

North East Medical Services is located at 728 Pacific Ave Ste 201, San Francisco, CA 94133. The listed phone number is (415) 391-9686.

What is North East Medical Services's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does North East Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0596124) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North East Medical Services was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.