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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 Certified · 8 labs
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: August 16, 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 8 active CLIA laboratory certificates, 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
Phone(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

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
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.
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
728 PACIFIC AVE STE 201, San Francisco, CA 94133
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Secondary Practice Location 1

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

CLIA Laboratory Certificates CMS CLIA 9

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 Waiver 05D2183541

North East Medical Services Ocean Clinic Laborator · San Francisco, CA
Active · expires May 5, 2028
CLIA Number05D2183541
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorDaniel Chan
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services Ocean Clinic Laborator1443 Ocean Avenue, San Francisco, CA 94112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2037353

North East Medical Services - Noriega Clinic Lab · San Francisco, CA
Active · expires Feb 23, 2028
CLIA Number05D2037353
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorDaniel Chan
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services - Noriega Clinic Lab1450 Noriega Street, San Francisco, CA 94134
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1107540

North East Medical Services San Bruno Laboratory · San Francisco, CA
Active · expires Nov 8, 2027
CLIA Number05D1107540
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorDaniel Chan, MD
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services San Bruno Laboratory2574 San Bruno Avenue, San Francisco, CA 94134
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2031102

North East Medical Services Stockton Clinic Lab · San Francisco, CA
Active · expires Oct 11, 2027
CLIA Number05D2031102
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorKenneth Tai
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services Stockton Clinic Lab1520 Stockton Street, San Francisco, CA 94133
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2233875

North East Medical Services 2633 San Bruno Laboratory · San Francisco, CA
Active · expires Aug 25, 2027
CLIA Number05D2233875
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorKenneth Tai
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services 2633 San Bruno Laboratory2633 San Bruno Avenue Rm 101, San Francisco, CA 94134
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0988450

North East Medical Services · San Francisco, CA
Active · expires Jun 26, 2027
CLIA Number05D0988450
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorDr. Kenneth Tai
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services82 Leland Avenue, San Francisco, CA 94134
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 23 months 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.