# CAPITAL MEDICAL EXTENDED CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679919856
- **Authorized official:** DR. CHANDAN CHEEMA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (916) 241-9844

## Contact information

- **Practice address:** 6608 MERCY CT STE C, FAIR OAKS, CA 95628-3171
- **Practice address phone:** (916) 241-9844
- **Mailing address:** 7190 SIERRA DR, GRANITE BAY, CA 95746-9583
- **Mailing address phone:** (408) 768-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 05/15/2013