Provider Demographics
NPI:1851933949
Name:ONEAL, SHERIDAN NOLAN GODFREY
Entity type:Individual
Prefix:
First Name:SHERIDAN
Middle Name:NOLAN GODFREY
Last Name:ONEAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5735 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-4528
Mailing Address - Country:US
Mailing Address - Phone:916-643-7400
Mailing Address - Fax:
Practice Address - Street 1:5735 47TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-4528
Practice Address - Country:US
Practice Address - Phone:916-643-9144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner