Active NPI
Sunrise Med Clinic
- Multi-Specialty Clinic/Center
- El Paso, TX
National Provider Identifier
1023720307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SUNRISE MED CLINIC
- Practice address
- 1397 George Dieter Dr Ste E
El Paso, TX 79936-7681 - Phone
- (915) 200-3825
- NPI assigned
- Dec 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Sanchez
- Title
- Owner
- Phone
- (915) 309-0611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1397 George Dieter Dr Ste E
El Paso, TX 79936-7681
Mailing address
1397 George Dieter Dr Ste E
El Paso, TX 79936-7681
Phone (915) 200-3825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230502000595 | TX | Part B Supplier - Clinic/Group Practice | 8527423268 |
Receives reassigned benefits from 3 practitioners Practice locations: El Paso, TX |
National Provider Directory
National Provider DirectoryLocations
1397 George Dieter Dr
Ste E
El Paso, TX 79936
Phone (915) 200-3825
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Health Clinical Nurse Specialist
- El Paso, TX
- NPI 1891182192
TX
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1255910188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1023720307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 GEORGE DIETER DR STE E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367681",
"telephone_number": "915-200-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 GEORGE DIETER DR STE E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367681",
"telephone_number": "915-200-3825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE MED CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-309-0611"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.