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NORTH EAST MEDICAL SERVICES - 1870 LUNDY
NPI 1083035505
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA

Active since December 31, 2013CLIA Certified · 4 labs
1870 LUNDY AVE, SAN JOSE, CA 95131(408) 573-9686(408) 573-9685 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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 4 active CLIA laboratory certificates and lists Eddie W. Chan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1083035505
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH EAST MEDICAL SERVICES
Location Address1870 LUNDY AVESan Jose, CA 95131-1826
Mailing Address1520 Stockton StSan Francisco, CA 94133-3354 · (415) 391-9686 · Fax (415) 433-4726
Phone(408) 573-9686
Fax(408) 573-9685
Organization SubpartYes
Authorized OfficialEddie W. ChanPresident & Ceo · (415) 391-9686
Enumeration DateDecember 31, 2013
✔ NPI 1083035505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1870 LUNDY AVE, San Jose, CA 95131
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Other Names 1

Other NameNorth East Medical Services - 1870 Lundy

CLIA Laboratory Certificates CMS CLIA 4

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, CA
Active · expires May 13, 2028
CLIA Number05D2077745
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorDaniel Chan, MD
Laboratory Phone(408) 573-9686
Laboratory LocationNorth East Medical Services 1870 Lundy Clinic1870 Lundy Avenue, San Jose, CA 95131
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2190017

North East Medical Services Pacific Clinical Laboratory · San Francisco, CA
Active · expires Aug 6, 2028
CLIA Number05D2190017
Laboratory TypePace Clinic
Certificate Effective DateAugust 7, 2026
Certificate Expiration DateAugust 6, 2028
Laboratory DirectorKenneth Tai
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services Pacific Clinical Laboratory728 Pacific Avenue, 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 05D2333871

North East Medical Services Linden Clinical Laboratory · South San Francisco, CA
Active · expires Nov 11, 2027
CLIA Number05D2333871
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorKenneth Tai
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services Linden Clinical Laboratory200 Linden Ave Suite C1, South San Francisco, CA 94080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2314332

North East Medical Services Story Road Pace · San Jose, CA
Active · expires Nov 17, 2026
CLIA Number05D2314332
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorKenneth Tai
Laboratory Phone(415) 391-9686
Laboratory LocationNorth East Medical Services Story Road Pace939 Story Rd Ste G108, San Jose, CA 95122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIEN-WAI CHIU MD
Internal Medicine (Geriatric Medicine)
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
LI TAN
Registered Nurse
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
GAVIN LIU DO
Family Medicine
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
WILLIAM WILL NHAM
Family Medicine (Adult Medicine)
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (415) 391-9686
DR. YUE HAO M.D.
Internal Medicine
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (415) 391-9686
SARA LAM PHARM.D.
Pharmacist
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
SAMANTHA YOUNG
Pharmacist
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
NIDHI GUPTA MD
Internal Medicine
1870 LUNDY AVE
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686

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 CLIA laboratory certificates?

Yes. 4 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 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.