Individual provider Active NPI

Sandra Villavicencio Fernandez, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1881034395
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7502 Issued in TX
Practice address
2950 George Dieter Dr
El Paso, TX 79936-2913
Phone
(915) 225-3790
Fax
(915) 225-3745
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q7502 TX Primary

Addresses

Primary practice location

2950 George Dieter Dr
El Paso, TX 79936-2913

Mailing address

PO Box 29472
Belfast, ME 04915-2046
Phone (915) 225-3790

Other practice location 1

4774 Loma Del Sur Dr
El Paso, TX 79934-3597
Phone (915) 533-7057

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
I20160825000286 TX Practitioner - Family Practice 6709171044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers of West Texas PLLCGroup PAC ID 7810327384, 29 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

2950 George Dieter Dr
El Paso, TX 79936-2913
Phone (915) 444-5460

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7502TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers of West Texas PLLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine Past Accepting new patients

Locations

2950 George Dieter Dr
El Paso, TX 79936
Phone (915) 444-5460

8045 N Loop Dr
Ste A
El Paso, TX 79915
Phone (915) 215-5167

2950 George Dieter Dr
Ste 6498
El Paso, TX 79936

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

Interoperability endpoints

  • Direct secure messaging: sandra.villavicencio.1@13711.direct.athenahealth.com

Organizations & group practices 3

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1881034395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29472",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152046",
            "telephone_number": "915-225-3790",
            "fax_number": "915-225-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362913",
            "telephone_number": "915-225-3790",
            "fax_number": "915-225-3745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4774 Loma Del Sur Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799343597",
            "country_code": "US",
            "telephone_number": "915-533-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAVICENCIO FERNANDEZ",
        "first_name": "SANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.