North East Medical Services
NPI 1104103001 · Federally Qualified Health Center (FQHC) · Daly City, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North East Medical Services is a Federally Qualified Health Center (FQHC) organization in Daly City, CA (NPI 1104103001).
Provider details
- NPI number
- 1104103001
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- North East Medical Services
- Organization subpart
- Yes
- Authorized official
- Eddie Chan, President & Ceo(415) 391-9686
- License
- 00000000 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- North East Medical Services - Eastmoor
Registry dates
- Enumerated
- 2011-11-07
- Last updated
- 2011-11-07
Frequently asked questions
- What is North East Medical Services's NPI number?
- North East Medical Services's National Provider Identifier (NPI) is 1104103001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North East Medical Services?
- North East Medical Services is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is North East Medical Services located?
- North East Medical Services's practice location on file with NPPES is 211 Eastmoor Ave, Daly City, CA 94015-2036.
- What is North East Medical Services's phone number?
- The practice phone number listed in the NPPES registry for North East Medical Services is (415) 391-9686.
- Does North East Medical Services accept Medicare?
- North East Medical Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North East Medical Services?
- The authorized official listed on North East Medical Services's NPPES record is Eddie Chan, President & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North East Medical Services's NPI active?
- Yes — North East Medical Services's NPI (1104103001) is active in the NPPES registry as of the last update on 2011-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.