Healthcare Provider Details

I. General information

NPI: 1568372571
Provider Name (Legal Business Name): SHELDON BENHAM-CALLENDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 RILEY ST
FOLSOM CA
95630-3064
US

IV. Provider business mailing address

6405 WESTBROOK DR
CITRUS HEIGHTS CA
95621-4833
US

V. Phone/Fax

Practice location:
  • Phone: 916-355-1250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number311015
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: