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

NPI Status: Active since January 23, 2008

Contact Information

1715 LUNDY AVE
SUITE 108-116
SAN JOSE, CA
ZIP 95131
Phone: (408) 573-9686
Fax: (408) 573-9685

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About NORTH EAST MEDICAL SERVICES - LUNDY

This page provides the complete NPI Profile along with additional information for North East Medical Services - Lundy, a primary care provider established in San Jose, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1093992844 assigned on January 2008. The practitioner's primary taxonomy code is 261QF0400X with license number 550000901 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is North East Medical Services - Lundy. The authorized official of this NPI record is Mr. Eddie Chan Pharm.d. (President & Ceo)

NPI
1093992844
Provider Legal Name
NORTH EAST MEDICAL SERVICES
Other Organization Name
NORTH EAST MEDICAL SERVICES - LUNDY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1715 LUNDY AVE SUITE 108-116 SAN JOSE, CA 95131
Location Phone
(408) 573-9686
Location Fax
(408) 573-9685
Mailing Address
1520 STOCKTON ST SAN FRANCISCO, CA 94133
Mailing Phone
(415) 391-9686
Mailing Fax
(408) 573-9685
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-23-2008
Last Update Date
02-17-2010
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A primary care provider (PCP) like North East Medical Services - Lundy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
550000901
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. EDDIE CHAN PHARM.D.

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(415) 391-9686

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1093992844MEDICAID (05)CA 
ZZZ07105ZMEDICARE PIN (08)CA 
1265670368MEDICAID (05)CA 
1497993729MEDICAID (05)CA 
051144MEDICARE PIN (08)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093992844
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183189488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 8 + 9 + 4 + 8 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1093992844 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

MICHAEL HOWARD CAVENDER O.T.

Occupational Therapist

(Hand)

1715 LUNDY AVE
SUITE 132
SAN JOSE, CA
ZIP 95131

(408) 436-5522

NORTH EAST MEDICAL SERVICES

Clinic/Center

(Federally Qualified Health Center (FQHC))

1715 LUNDY AVE
SUITE 108-116
SAN JOSE, CA
ZIP 95131

(408) 573-9686

NORTH EAST MEDICAL SERVICES

Clinic/Center

(Federally Qualified Health Center (FQHC))

1715 LUNDY AVE
SUITE 108-116
SAN JOSE, CA
ZIP 95131

(408) 573-9686

MS. LAI KUEN CHU R.N.

Registered Nurse

(Community Health)

1715 LUNDY AVE
SUITES 108-116
SAN JOSE, CA
ZIP 95131

(408) 573-9686

SISI LIANG

Registered Nurse

(Community Health)

1715 LUNDY AVE
SAN JOSE, CA
ZIP 95131

(408) 573-9686

JUNE SIUFONG LEE M.D.

Pediatrics

1715 LUNDY AVE
SUITE 108-116
SAN JOSE, CA
ZIP 95131

(408) 573-9686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093992844, enumerated as an "organization" on January 23, 2008.

The provider is located at 1715 LUNDY AVE SUITE 108-116 SAN JOSE, CA 95131 and the phone number is (408) 573-9686.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.