MEDICARE: NORTH EAST MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHY 40315	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	PHY 40315	OTHER	CA	STATE LIC: BD OF PHARMACY
3	0592522	OTHER		NCPDP PREVIOUSLY NABP

General Provider Information

NPI Number	:	1992747109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH EAST MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	1520 STOCKTON ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94133-3354
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:	415-433-4726

Provider Business Practice Location Address
First Line	:	1520 STOCKTON ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94133-3354
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:	415-391-9704

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DR. EDDIE CHAN
Credential	:	PHARM.D.
Telephone Number	:	415-391-9686

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	10/01/2012

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1699764274 — ESTHER HSUAN-HSIN CHANG M.D.
Practice Location Address:

1520 STOCKTON ST
SAN FRANCISCO, CA
94133-3354

Practice Phone: 415-391-9686
Practice Fax: 212-379-6929

1518911304 — NORTH EAST MEDICAL SERVICES
Practice Location Address:

1520 STOCKTON STREET
SAN FRANCISCO, CA
94133-3354

Practice Phone: 415-391-9686
Practice Fax: 415-433-4726

1851311583 — DR. YIU TING CHUNG MD
Practice Location Address:

1520 STOCKTON ST
SAN FRANCISCO, CA
94133-3354

Practice Phone: 415-391-9686
Practice Fax:

1386651719 — MS. YU-WEN CHIU L.AC.
Practice Location Address:

1520 STOCKTON ST
SAN FRANCISCO, CA
94133-3354

Practice Phone: 415-391-9686
Practice Fax: 510-231-0398

1841386141 — ANSELM O LAM M.D.
Practice Location Address:

1520 STOCKTON ST
SAN FRANCISCO, CA
94133-3354

Practice Phone: 415-391-9686
Practice Fax: 414-355-8644

Directions to “NORTH EAST MEDICAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.