Individual provider Active NPI

Sandra Diaz de Leon Shults, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1376739474
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7876 Issued in TX
Practice address
10525 Vista del Sol Dr Ste 110
El Paso, TX 79925-7932
Phone
(915) 593-1887
Fax
(915) 599-4060
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2009-0635 NM
Family Medicine Physician 207Q00000X N7876 TX Primary

Addresses

Primary practice location

10525 Vista del Sol Dr Ste 110
El Paso, TX 79925-7932

Mailing address

PO Box 971414
El Paso, TX 79997-1414
Phone (915) 996-5255

Other practice location 1

1721A N Lee Trevino Dr Ste 103
El Paso, TX 79936-4521
Phone (915) 593-1887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121211000331 TX Practitioner - Family Practice 2466604855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1721 A N Lee Trevino Dr
Suite 103
El Paso, TX 79936-4521
Phone (915) 433-8185

Hospital & facility affiliations

  • Tender Care Home Health Home health agency, El Paso, TX, CCN 679522
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue114
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2009-0635NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Wound Care Center Incorporated Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Arm Healthcare LLC CurrentSince Sep 18, 2024 Accepting new patients

Locations

6400 Escondido Dr
El Paso, TX 79912
Phone (915) 300-1330

10525 Vista del Sol Dr
Ste 110
El Paso, TX 79925
Phone (915) 593-1887

1721 N Lee Trevino Dr
Ste 103
El Paso, TX 79936
Phone (915) 433-8185

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1376739474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971414",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799971414",
            "telephone_number": "915-996-5255",
            "fax_number": "203-290-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 VISTA DEL SOL DR STE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257932",
            "telephone_number": "915-593-1887",
            "fax_number": "915-599-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721A N Lee Trevino Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364521",
            "country_code": "US",
            "telephone_number": "915-593-1887",
            "fax_number": "915-599-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULTS",
        "first_name": "SANDRA",
        "middle_name": "DIAZ DE LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2009-0635",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.