NORTH EAST MEDICAL SERVICES - EASTMOOR
NPI 1104103001
Clinic/Center - Federally Qualified Health Center (FQHC) in Daly City, CA
About North East Medical Services - Eastmoor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH EAST MEDICAL SERVICES - EASTMOOR (NPI 1104103001) is a healthcare organization registered as a federally qualified health center (fqhc) in Daly City, California and active in the NPI registry since November 2011. The organization lists Eddie W Chan, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North East Medical Services - Eastmoor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
176Medicare enrollment records show 176 clinicians reassign Medicare billing to North East Medical Services - Eastmoor, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 113 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 35
Nearest to this location (20)
See all 176Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1104103001. It was assigned to this organization in the NPPES registry on November 7, 2011. The provider is also known as North East Medical Services - Eastmoor.
Where is North East Medical Services located?
North East Medical Services is located at 211 Eastmoor Ave, Daly City, CA 94015. The listed phone number is (415) 391-9686.
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.
Is North East Medical Services enrolled in Medicare?
Yes. North East Medical Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North East Medical Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 176 clinicians in 35 Medicare specialties reassign their Medicare billing to North East Medical Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (30), Family Practice (28) and Nurse Practitioner (26). Of these, 10 practice at this address and 113 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for North East Medical Services was last updated on November 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# North East Medical Services - Eastmoor · NPI 1104103001
Federally Qualified Health Center (FQHC) organization in Daly City, California. Organization record, active in the CMS NPPES registry since November 7, 2011.
## Identity
- **NPI:** 1104103001 (Entity type: Organization)
- **Enumerated:** November 7, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** North East Medical Services
- **Organization subpart:** Yes (part of North East Medical Services)
- **Authorized official:** Eddie Chan, PRESIDENT & CEO
## Practice location
- **Address:** 211 EASTMOOR AVE, Daly City, CA 94015-2036
- **Phone:** (415) 391-9686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 176 clinicians in 35 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (30), Family Practice (28), Nurse Practitioner (26); 10 practice at this address and 113 within 10 miles; [full list](https://npiprofile.com/npi/1104103001/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1104103001) · Data from the CMS NPPES public registry.