NORTH EAST MEDICAL SERVICES - 1870 LUNDY
NPI 1083035505
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA
About North East Medical Services - 1870 Lundy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH EAST MEDICAL SERVICES - 1870 LUNDY (NPI 1083035505) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Eddie W. Chan, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Waiver 05D2077745
North East Medical Services 1870 Lundy Clinic · San Jose, CAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1083035505. It was assigned to this organization in the NPPES registry on December 31, 2013. The provider is also known as North East Medical Services - 1870 Lundy.
Where is North East Medical Services located?
North East Medical Services is located at 1870 Lundy Ave, San Jose, CA 95131. The listed phone number is (408) 573-9686.
What is North East Medical Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does North East Medical Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2077745) is associated with this NPI, valid through May 13, 2028. 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 December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
