NORTH EAST MEDICAL SERVICES - 2633 SAN BRUNO
NPI 1821697483
Clinic/Center - Federally Qualified Health Center (FQHC) in San Francisco, CA
About North East Medical Services - 2633 San Bruno NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH EAST MEDICAL SERVICES - 2633 SAN BRUNO (NPI 1821697483) is a healthcare organization registered as a federally qualified health center (fqhc) in San Francisco, California and active in the NPI registry since October 2020. The organization lists Eddie W Chan, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North East Medical Services - 2633 San Bruno is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1821697483. It was assigned to this organization in the NPPES registry on October 23, 2020. The provider is also known as North East Medical Services - 2633 San Bruno.
Where is North East Medical Services located?
North East Medical Services is located at 2633 San Bruno Ave, San Francisco, CA 94134. 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.
When is North East Medical Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for North East Medical Services was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 - 2633 San Bruno · NPI 1821697483
Federally Qualified Health Center (FQHC) organization in San Francisco, California. Organization record, active in the CMS NPPES registry since October 23, 2020.
## Identity
- **NPI:** 1821697483 (Entity type: Organization)
- **Enumerated:** October 23, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** North East Medical Services
- **Organization subpart:** No
- **Authorized official:** Eddie Chan, PRESIDENT & CEO
## Practice location
- **Address:** 2633 SAN BRUNO AVE, San Francisco, CA 94134-1597
- **Phone:** (415) 391-9686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1821697483) · Data from the CMS NPPES public registry.