NORTH EAST MEDICAL SERVICES
NPI 1194525634
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA
About North East Medical Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH EAST MEDICAL SERVICES (NPI 1194525634) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since March 2025. The organization lists Eddie W Chan, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 1194525634. It was assigned to this organization in the NPPES registry on March 14, 2025. The provider is also known as North East Medical Services - 939 Story Road Dental.
Where is North East Medical Services located?
North East Medical Services is located at 939 Story Rd Ste 102, San Jose, CA 95122. 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 March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 · NPI 1194525634
Federally Qualified Health Center (FQHC) organization in San Jose, California. Organization record, active in the CMS NPPES registry since March 14, 2025.
## Identity
- **NPI:** 1194525634 (Entity type: Organization)
- **Enumerated:** March 14, 2025
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** North East Medical Services - 939 Story Road Dental (Other Name)
- **Organization subpart:** No
- **Authorized official:** Eddie Chan, PRESIDENT & CEO
## Practice location
- **Address:** 939 STORY RD STE 102, San Jose, CA 95122-2688
- **Phone:** (408) 573-9686
## Record status
- **NPPES last updated:** March 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194525634) · Data from the CMS NPPES public registry.