Individual provider Active NPI

Eric Sandoval, MD

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1003178013
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S0556 Issued in TX
Practice address
504 Cotton Blossom Ave
El Paso, TX 79922-1600
Phone
(915) 309-6317
NPI assigned
Jun 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2014-0755 NM
Sports Medicine (Family Medicine) Physician 207QS0010X 32151 OK
Family Medicine Physician 207Q00000X S0556 TX Primary

Addresses

Primary practice location

504 Cotton Blossom Ave
El Paso, TX 79922-1600

Mailing address

504 Cotton Blossom Ave
El Paso, TX 79922-1600
Phone (915) 309-6317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903000995 NM Practitioner - Emergency MedicinePractitioner - Family Practice 4284940321 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2014-0755NMMDFamily Medicine Physician
S0556TXMDFamily Medicine Physician
32151OKMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Aug 1, 2015 Accepting new patients
PHC Las Cruces CurrentSince Aug 1, 2015 Accepting new patients
Northwest Hospital Medicine Physicians LLC CurrentSince Jan 14, 2017 Accepting new patients
PHC-Las Cruces Inc Family Medicine Current Accepting new patients
Las Cruces Physician Practices LLC CurrentSince Aug 1, 2015 Accepting new patients
Southwest Emergency Medical Associates of NM PC CurrentSince Nov 1, 2017 Accepting new patients
PHC Las Cruces Inc CurrentSince Aug 1, 2015 Accepting new patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

721 E Holly St
Ste B
Deming, NM 88030
Phone (575) 546-6010

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

150 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (505) 521-5900

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1003178013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 COTTON BLOSSOM AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221600",
            "telephone_number": "915-309-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 COTTON BLOSSOM AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221600",
            "telephone_number": "915-309-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2014-0755",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OK",
            "license": "32151",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S0556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.