| North East Medical Services - Lundy | |
|
1715 Lundy Ave Suite 108-116 San Jose CA 95131-1837 | |
| (408) 573-9686 | |
| (408) 573-9685 |
| Full Name | North East Medical Services - Lundy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1715 Lundy Ave, San Jose, California |
| Authorized Official Name and Position | Eddie Chan (PRESIDENT & CEO) |
| Authorized Official Contact | 4153919686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Medical Services - Lundy 1520 Stockton St San Francisco CA 94133-3354 Ph: (415) 391-9686 | North East Medical Services - Lundy 1715 Lundy Ave Suite 108-116 San Jose CA 95131-1837 Ph: (408) 573-9686 |
| NPI Number | 1093992844 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 02/17/2010 |
| Medicare PECOS PAC ID | 4284520529 |
|---|---|
| Medicare Enrollment ID | O20040224001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093992844 | NPI | - | NPPES |
| 1497993729 | Medicaid | CA | |
| 1265670368 | Medicaid | CA | |
| 1093992844 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000901 (California) | Primary |
| Provider Name | Yuan-da Fan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609941798 PECOS PAC ID: 6709772056 Enrollment ID: I20040224001185 |
| Provider Name | Maureen Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760457709 PECOS PAC ID: 3678569316 Enrollment ID: I20040420001607 |
| Provider Name | Davy Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447356795 PECOS PAC ID: 5496736514 Enrollment ID: I20040525001667 |
| Provider Name | Anita M Prakash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578578050 PECOS PAC ID: 3173593845 Enrollment ID: I20040811000764 |
| Provider Name | Dennis D Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316049190 PECOS PAC ID: 7113980749 Enrollment ID: I20041104001177 |
| Provider Name | Jesse Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043348618 PECOS PAC ID: 5597722173 Enrollment ID: I20041215000488 |
| Provider Name | Violet W Ng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528185196 PECOS PAC ID: 5799724712 Enrollment ID: I20050428001127 |
| Provider Name | Warren Chang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083674550 PECOS PAC ID: 1759323595 Enrollment ID: I20050523000831 |
| Provider Name | Albert C Kao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225099286 PECOS PAC ID: 4486697224 Enrollment ID: I20050602001115 |
| Provider Name | Kenneth B Tai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942374905 PECOS PAC ID: 8820027485 Enrollment ID: I20050804000709 |
| Provider Name | George Minowada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184702086 PECOS PAC ID: 0042235301 Enrollment ID: I20051006000302 |
| Provider Name | Tammy Ka Ming Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851312664 PECOS PAC ID: 9234132663 Enrollment ID: I20060824000256 |
| Provider Name | Khae Saephanh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669588133 PECOS PAC ID: 8426052291 Enrollment ID: I20060908000513 |
| Provider Name | Sharon M Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952348260 PECOS PAC ID: 3274537832 Enrollment ID: I20060913000186 |
| Provider Name | Bonnie M Chu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548334501 PECOS PAC ID: 3072615335 Enrollment ID: I20070216000687 |
| Provider Name | Hou Terng Leong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801984588 PECOS PAC ID: 5991809329 Enrollment ID: I20070324000100 |
| Provider Name | Teresa S Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447368295 PECOS PAC ID: 5890876767 Enrollment ID: I20080116000739 |
| Provider Name | Michelle S Tam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981307 PECOS PAC ID: 7416034764 Enrollment ID: I20080410000404 |
| Provider Name | James F Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366476970 PECOS PAC ID: 3173600434 Enrollment ID: I20080410000463 |
| Provider Name | Vincent W Wong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417051657 PECOS PAC ID: 0143399758 Enrollment ID: I20080522000438 |
| Provider Name | Robert Ra-nien Tseng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053371559 PECOS PAC ID: 2466488390 Enrollment ID: I20080606000718 |
| Provider Name | Anselm O Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841386141 PECOS PAC ID: 9133196827 Enrollment ID: I20081007000471 |
| Provider Name | Jerry Jew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083899181 PECOS PAC ID: 8628137759 Enrollment ID: I20081105000040 |
| Provider Name | Judy W Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043384050 PECOS PAC ID: 9436219672 Enrollment ID: I20081118000847 |
| Provider Name | Taehyun Chung |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821170150 PECOS PAC ID: 4880754431 Enrollment ID: I20081129000018 |
| Provider Name | Lien T Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811038912 PECOS PAC ID: 4486715232 Enrollment ID: I20081211000424 |
| Provider Name | Kelvin K Mak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376633883 PECOS PAC ID: 2163584103 Enrollment ID: I20081229000325 |
| Provider Name | John Tso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811160377 PECOS PAC ID: 8224190178 Enrollment ID: I20081231000169 |
| Provider Name | Dong H Hwang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700951233 PECOS PAC ID: 6406918309 Enrollment ID: I20081231000512 |
| Provider Name | Richard Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386718385 PECOS PAC ID: 0547322372 Enrollment ID: I20090102000308 |
| Provider Name | Jonathan D Wong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780750588 PECOS PAC ID: 9537223227 Enrollment ID: I20090123000532 |
| Provider Name | Peir-gen Chiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326112350 PECOS PAC ID: 7911062591 Enrollment ID: I20090227000051 |
| Provider Name | Jack S Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548334543 PECOS PAC ID: 5294891131 Enrollment ID: I20090302000485 |
| Provider Name | Sabi Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760630461 PECOS PAC ID: 6103979356 Enrollment ID: I20090805000348 |
| Provider Name | Pao-ching Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073755005 PECOS PAC ID: 9638225311 Enrollment ID: I20090922000284 |
| Provider Name | Wai-hang J Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063669224 PECOS PAC ID: 5597802868 Enrollment ID: I20091020000360 |
| Provider Name | Hongyu L Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932315579 PECOS PAC ID: 7315084902 Enrollment ID: I20091030000496 |
| Provider Name | Kwokming J Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124192158 PECOS PAC ID: 6901945054 Enrollment ID: I20091202000325 |
| Provider Name | Zhen Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326176397 PECOS PAC ID: 6406891902 Enrollment ID: I20100205000209 |
| Provider Name | Maian Ye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912198110 PECOS PAC ID: 1557406477 Enrollment ID: I20100303000734 |
| Provider Name | Ki Hong Ho |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215131883 PECOS PAC ID: 2466585872 Enrollment ID: I20100805000954 |
| Provider Name | Gary K Lam |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588996557 PECOS PAC ID: 5991839102 Enrollment ID: I20100810000409 |
| Provider Name | Lynn X Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649388406 PECOS PAC ID: 2365450947 Enrollment ID: I20100917000446 |
| Provider Name | Thomas M Pong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285712877 PECOS PAC ID: 2163617226 Enrollment ID: I20101115000718 |
| Provider Name | J Brian B Delfanti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356425425 PECOS PAC ID: 0143415158 Enrollment ID: I20101115001417 |
| Provider Name | Justin Poy Quock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699792663 PECOS PAC ID: 6406041367 Enrollment ID: I20101117000823 |
| Provider Name | Thinn T Khaing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396939724 PECOS PAC ID: 6800082397 Enrollment ID: I20101123000583 |
| Provider Name | Linda S Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235217894 PECOS PAC ID: 9335335371 Enrollment ID: I20101202000161 |
| Provider Name | Edward W Holt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891816369 PECOS PAC ID: 1951472067 Enrollment ID: I20101215000738 |
| Provider Name | Yiu Ting Chung |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851311583 PECOS PAC ID: 5092998583 Enrollment ID: I20110321000828 |
| Provider Name | Jennifer Unjoo Sung |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679503304 PECOS PAC ID: 2860524808 Enrollment ID: I20110330000654 |
| Provider Name | Robert D Goldfien |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003991779 PECOS PAC ID: 8628114204 Enrollment ID: I20110407000811 |
| Provider Name | Samuel Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588737894 PECOS PAC ID: 8729263082 Enrollment ID: I20110430000031 |
| Provider Name | Chuan Hsin Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033377841 PECOS PAC ID: 2163608035 Enrollment ID: I20110511000334 |
| Provider Name | Le K Thai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598072670 PECOS PAC ID: 5193901411 Enrollment ID: I20110520000120 |
| Provider Name | Helen M Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326346594 PECOS PAC ID: 2163692344 Enrollment ID: I20110825000313 |
| Provider Name | Rena R Hu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275774374 PECOS PAC ID: 8022272988 Enrollment ID: I20120606000239 |
| Provider Name | Linh T Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467741207 PECOS PAC ID: 7618132333 Enrollment ID: I20120703000266 |
| Provider Name | Diane Sun |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1962527952 PECOS PAC ID: 1052410719 Enrollment ID: I20120711000239 |
| Provider Name | Kenton D Fong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932388444 PECOS PAC ID: 8325203565 Enrollment ID: I20120713000097 |
| Provider Name | Samantha H Kaura |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962694927 PECOS PAC ID: 8426206012 Enrollment ID: I20120925000136 |
| Provider Name | Pan Gu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063760981 PECOS PAC ID: 7113176447 Enrollment ID: I20121002000548 |
| Provider Name | Esther Hsuan-hsin Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699764274 PECOS PAC ID: 7416131438 Enrollment ID: I20121102000263 |
| Provider Name | Kirsten L Gaarder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437355765 PECOS PAC ID: 0143471672 Enrollment ID: I20130719000412 |
| Provider Name | Cindy Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538494463 PECOS PAC ID: 9931333663 Enrollment ID: I20131116000016 |
| Provider Name | Hong Zheng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861796807 PECOS PAC ID: 7315173168 Enrollment ID: I20131126001503 |
| Provider Name | Ali A Zaidi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417006479 PECOS PAC ID: 0244381069 Enrollment ID: I20140418000163 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427337229 PECOS PAC ID: 3375768211 Enrollment ID: I20140708002476 |
| Provider Name | Albert C Leung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861781551 PECOS PAC ID: 5890911218 Enrollment ID: I20140721001975 |
| Provider Name | Simon Lai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710392204 PECOS PAC ID: 7416173158 Enrollment ID: I20140801000536 |
| Provider Name | Neil V Kaura |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194979856 PECOS PAC ID: 3577719616 Enrollment ID: I20141218001174 |
| Provider Name | Steven Sust |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407174477 PECOS PAC ID: 7416274543 Enrollment ID: I20150328000062 |
| Provider Name | Chia-yu Hsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497166144 PECOS PAC ID: 8123331675 Enrollment ID: I20150713003049 |
| Provider Name | Jenna K Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922485895 PECOS PAC ID: 5395058507 Enrollment ID: I20150716003012 |
| Provider Name | Audrey Sue-matsumoto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942569918 PECOS PAC ID: 4981918414 Enrollment ID: I20150728006155 |
| Provider Name | Tim Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497193643 PECOS PAC ID: 3476867573 Enrollment ID: I20150803002421 |
| Provider Name | Sheryl Q Tan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417335100 PECOS PAC ID: 8325352123 Enrollment ID: I20150807013639 |
| Provider Name | Maria M Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043575491 PECOS PAC ID: 5991013328 Enrollment ID: I20151002002516 |
| Provider Name | Pyone Wai Wai Soe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124379656 PECOS PAC ID: 1951610658 Enrollment ID: I20151020002477 |
| Provider Name | Sandar Htun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881019891 PECOS PAC ID: 2264742055 Enrollment ID: I20151106000974 |
| Provider Name | Hong Guo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407063092 PECOS PAC ID: 3870803133 Enrollment ID: I20151117001835 |
| Provider Name | Timothy H Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699017707 PECOS PAC ID: 3779884176 Enrollment ID: I20151208002868 |
| Provider Name | Delenie Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528421146 PECOS PAC ID: 1658679246 Enrollment ID: I20160414001929 |
| Provider Name | Lydia H Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578900452 PECOS PAC ID: 1850680877 Enrollment ID: I20160516000276 |
| Provider Name | Becky Tse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811365877 PECOS PAC ID: 0648563270 Enrollment ID: I20160720000636 |
| Provider Name | David Zhi Hao Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861750507 PECOS PAC ID: 9931330982 Enrollment ID: I20160816002815 |
| Provider Name | Serena Shong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700902921 PECOS PAC ID: 7416238829 Enrollment ID: I20161223000272 |
| Provider Name | Saw Sein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053754473 PECOS PAC ID: 0547537136 Enrollment ID: I20170602000966 |
| Provider Name | Lilly Liu Fung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548540727 PECOS PAC ID: 8527336825 Enrollment ID: I20170609000021 |
| Provider Name | Yuk King Yeung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861838856 PECOS PAC ID: 7113297961 Enrollment ID: I20170726003862 |
| Provider Name | Chun Chan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376798470 PECOS PAC ID: 8820355340 Enrollment ID: I20171207002317 |
| Provider Name | Emily Sarah Charlson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609296466 PECOS PAC ID: 9830487313 Enrollment ID: I20180521002425 |
| Provider Name | Hubert Shih |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770873606 PECOS PAC ID: 3375808017 Enrollment ID: I20180529002899 |
| Provider Name | Ruth Ann C Kwong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932581873 PECOS PAC ID: 5597020800 Enrollment ID: I20180921002646 |
| Provider Name | Anna Wy Szeto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356755755 PECOS PAC ID: 2567708548 Enrollment ID: I20190111001651 |
| Provider Name | Jason H Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245637784 PECOS PAC ID: 3678804150 Enrollment ID: I20191015000423 |
| Provider Name | Yan Yan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154663771 PECOS PAC ID: 2163753302 Enrollment ID: I20191018002106 |
| Provider Name | Heidi M Chang |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538600234 PECOS PAC ID: 5496187304 Enrollment ID: I20191114002360 |
| Provider Name | Aileen W Xu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255986964 PECOS PAC ID: 6608208111 Enrollment ID: I20191120002922 |
| Provider Name | Darren Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477948826 PECOS PAC ID: 3971897000 Enrollment ID: I20191125001472 |
| Provider Name | Fiona Wk Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710537741 PECOS PAC ID: 4486087855 Enrollment ID: I20191126001626 |
| Provider Name | Amy S Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588009666 PECOS PAC ID: 4385930270 Enrollment ID: I20191217001889 |
| Provider Name | Bao Lin Jian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801326640 PECOS PAC ID: 3577980507 Enrollment ID: I20200710002893 |
| Provider Name | Connie S Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144752486 PECOS PAC ID: 7012281538 Enrollment ID: I20201026000968 |
| Provider Name | Michele Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083068001 PECOS PAC ID: 0143571315 Enrollment ID: I20201104000611 |
| Provider Name | Christine Au |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487230843 PECOS PAC ID: 3678972346 Enrollment ID: I20210528002231 |
| Provider Name | Karen Xu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295167229 PECOS PAC ID: 4183021025 Enrollment ID: I20210921000467 |
| Provider Name | Andrew Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588329197 PECOS PAC ID: 4880083302 Enrollment ID: I20211122002016 |
| Provider Name | Vivian Leung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811358104 PECOS PAC ID: 1557751336 Enrollment ID: I20211209002747 |
| Provider Name | Ivana Sheu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952763419 PECOS PAC ID: 3476816703 Enrollment ID: I20220113000429 |
| Provider Name | Mai Abdelnabi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013394980 PECOS PAC ID: 8628385499 Enrollment ID: I20220202001348 |
| Provider Name | Joann Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790438208 PECOS PAC ID: 2365836319 Enrollment ID: I20220308002005 |
| Provider Name | Stanley K Ng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164800959 PECOS PAC ID: 3476842162 Enrollment ID: I20220316000870 |
| Provider Name | Chia-hua Chan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689337834 PECOS PAC ID: 3072900513 Enrollment ID: I20220502000075 |
| Provider Name | Fan Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073956199 PECOS PAC ID: 5799162525 Enrollment ID: I20220517003118 |
| Provider Name | Helen H Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952966442 PECOS PAC ID: 9931516465 Enrollment ID: I20220524002522 |
| Provider Name | Jessica Chen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780107011 PECOS PAC ID: 1456739515 Enrollment ID: I20220601001332 |
| Provider Name | Kaileen Yeh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023542594 PECOS PAC ID: 2961810577 Enrollment ID: I20220715002448 |
| Provider Name | Yu Ting He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508326026 PECOS PAC ID: 6608100870 Enrollment ID: I20220816003282 |
| Provider Name | Lauren Quan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497318166 PECOS PAC ID: 6103200514 Enrollment ID: I20220902002734 |
| Provider Name | Reshmin Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427619071 PECOS PAC ID: 8527442680 Enrollment ID: I20220908002947 |
| Provider Name | Christina Spandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396207213 PECOS PAC ID: 5092190892 Enrollment ID: I20220914003489 |
| Provider Name | Ghada M Alsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073805461 PECOS PAC ID: 0941447593 Enrollment ID: I20221104002655 |
| Provider Name | Sharon May Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639886617 PECOS PAC ID: 9830568518 Enrollment ID: I20221220001938 |
| Provider Name | I Hong Kan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174251771 PECOS PAC ID: 5890150247 Enrollment ID: I20230508002310 |
| Provider Name | Julia Shao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881276129 PECOS PAC ID: 5193182053 Enrollment ID: I20230607003289 |
| Provider Name | William W Nham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265061154 PECOS PAC ID: 1557772977 Enrollment ID: I20230828003636 |
| Provider Name | Lily Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700346475 PECOS PAC ID: 4688038599 Enrollment ID: I20230912000197 |
| Provider Name | Augustine Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366063612 PECOS PAC ID: 9436576196 Enrollment ID: I20230926004160 |
| Provider Name | Danny Louie |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174309892 PECOS PAC ID: 6305292665 Enrollment ID: I20231024001311 |
| Provider Name | Shiyu Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790164788 PECOS PAC ID: 2264888460 Enrollment ID: I20231024003442 |
| Provider Name | Gavin F Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255951752 PECOS PAC ID: 2668895335 Enrollment ID: I20231107003758 |
| Provider Name | Tony T Zhou |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1215381314 PECOS PAC ID: 5890080626 Enrollment ID: I20231221003008 |
| Provider Name | Chia-i Jen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972856508 PECOS PAC ID: 3476903865 Enrollment ID: I20231227002520 |
| Provider Name | Wing Man Winnie So |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407332299 PECOS PAC ID: 3476940248 Enrollment ID: I20240116001661 |
| Provider Name | Karen Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366117426 PECOS PAC ID: 4183067911 Enrollment ID: I20240208003859 |
Chris Chung, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 | |
Tuan Le, M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Lexann Ave, Suite 122, San Jose, CA 95121 Phone: 408-531-1555 | |
Frank D. Shin, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 S De Anza Blvd, Suite A, San Jose, CA 95129 Phone: 408-366-0405 | |
Verity Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Jackson Ave, San Jose, CA 95116 Phone: 408-278-3000 | |
Leena Gupta Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Bridgeview Ln, San Jose, CA 95138 Phone: 408-666-0392 | |
Shen Medicine & Pediatrics Assc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Rosewood Ave, San Jose, CA 95117 Phone: 408-296-9800 Fax: 408-296-9805 | |
Terry C. Lin D.o.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 Samaritan Dr., #201, San Jose, CA 95124 Phone: 888-582-0814 |