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NORTH EAST MEDICAL SERVICES - LUNDY
NPI 1093992844
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA

Active since January 23, 2008
1715 LUNDY AVE, SUITE 108-116, SAN JOSE, CA 95131(408) 573-9686(408) 573-9685 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North East Medical Services - Lundy NPPES

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

NORTH EAST MEDICAL SERVICES - LUNDY (NPI 1093992844) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since January 2008. The organization lists Eddie Chan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1093992844
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH EAST MEDICAL SERVICES
Location Address1715 LUNDY AVE, SUITE 108-116San Jose, CA 95131-1837
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 ChanPresident & Ceo · (415) 391-9686
Enumeration DateJanuary 23, 2008
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1093992844 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
License✔ Licensed in CA · 550000901
1715 LUNDY AVE, San Jose, CA 95131
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Other Names 1

Other NameNorth East Medical Services - Lundy

Other Identifiers 5

Medicaid1093992844CA
Medicare PINZZZ07105ZCA
Medicaid1265670368CA
Medicaid1497993729CA
Medicare PIN051144CA

Other Providers at the Same Location NPPES 6

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

JUNE SIUFONG LEE M.D.
Pediatrics
1715 LUNDY AVE, SUITE 108-116
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
NORTH EAST MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
1715 LUNDY AVE, SUITE 108-116
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
MS. LAI KUEN CHU R.N.
Registered Nurse (Community Health)
1715 LUNDY AVE, SUITES 108-116
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
MICHAEL HOWARD CAVENDER O.T.
Occupational Therapist (Hand)
1715 LUNDY AVE, SUITE 132
SAN JOSE, CA 95131
Santa Clara County (408) 436-5522
NORTH EAST MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
1715 LUNDY AVE, SUITE 108-116
SAN JOSE, CA 95131
Santa Clara County (408) 573-9686
SISI LIANG
Registered Nurse (Community Health)
1715 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 1093992844. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is also known as North East Medical Services - Lundy.

Where is North East Medical Services located?

North East Medical Services is located at 1715 Lundy Ave Suite 108-116, 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.

When was this NPI record last updated?

The NPPES record for North East Medical Services was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.