NPIMap

Organization Active NPI

Chandan DS Cheema MD Inc

Doing business as Capital Medical Extended Care

  • Internal Medicine Physician
  • Fair Oaks, CA
National Provider Identifier
1598965667
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A47747 Issued in CA
Legal business name
CHANDAN DS CHEEMA MD INC
Doing business as
Capital Medical Extended Care
Practice address
6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171
Phone
(916) 241-9844
Fax
(916) 241-9845
NPI assigned
Jul 18, 2007
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chandan Deep Singh Cheema, MDNPI 1053488114
Title
President
Phone
(916) 241-9844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A47747 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X

Addresses

Primary practice location

6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171

Mailing address

6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171
Phone (916) 241-9844

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ05271ZOtherCAGROUP PTAN

Other names 1

  • Capital Medical Extended Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000331 CA Part B Supplier - Clinic/Group Practice 2264533637 Receives reassigned benefits from 44 practitioners
Practice locations: Fair Oaks, CA

National Provider Directory

National Provider Directory

Locations

6608 Mercy Ct
Ste A
Fair Oaks, CA 95628
Phone (916) 484-7056

1161 Cirby Way
Roseville, CA 95661
Phone (916) 782-1238

3001 Douglas Blvd
Ste 150
Roseville, CA 95661

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1598965667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "916-241-9844",
            "fax_number": "916-241-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "916-241-9844",
            "fax_number": "916-241-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDAN DS CHEEMA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "CHANDAN",
        "authorized_official_middle_name": "DEEP SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-241-9844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A47747",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ05271Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Medical Extended Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capital Medical Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.