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: July 19, 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
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

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.

Occupational Therapist (Hand)
1715 LUNDY AVE, SUITE 132
SAN JOSE, CA 95131
Clinic/Center (Federally Qualified Health Center (FQHC))
1715 LUNDY AVE, SUITE 108-116
SAN JOSE, CA 95131
Clinic/Center (Federally Qualified Health Center (FQHC))
1715 LUNDY AVE, SUITE 108-116
SAN JOSE, CA 95131
Registered Nurse (Community Health)
1715 LUNDY AVE, SUITES 108-116
SAN JOSE, CA 95131
Registered Nurse (Community Health)
1715 LUNDY AVE
SAN JOSE, CA 95131
Pediatrics
1715 LUNDY AVE, SUITE 108-116
SAN JOSE, CA 95131

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.