NORTH EAST MEDICAL SERVICES - STOCKTON – NPI #1518911304
Clinic/Center
NORTH EAST MEDICAL SERVICES - STOCKTON is an AHC clinic located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1518911304 to NORTH EAST MEDICAL SERVICES - STOCKTON on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTH EAST MEDICAL SERVICES - STOCKTON” is a dba name, the actual legal business name for this organization is NORTH EAST MEDICAL SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 4 years ago on Mar 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH EAST MEDICAL SERVICES - STOCKTON below.
NPI Profile for
NORTH EAST MEDICAL SERVICES
(more than 20 years ago)
SAN FRANCISCO, CA 94133-3354 Phone: (415) 391-9686 Fax: (415) 433-4726
DALY CITY, CA 94014-1982 Phone: Fax: (415) 433-4726
PRESIDENT & CEO
Phone: (415) 391-9686
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for NORTH EAST MEDICAL SERVICES - STOCKTON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | EAP11007F | |
| MEDICAID | CA | GR0028720 | |
| MEDICAID | CA | FHC11007F |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
CA | 220000118 |
| 251X00000X - Supports Brokerage |
||
| 171M00000X - Case Manager/Care Coordinator |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.