Active NPI
Sandra Villavicencio Fernandez, M.D.
- Family Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q7502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- El Paso Therapy Services, Inc.
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7502 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers of West Texas PLLC | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1619503026
-
- Physical Therapist
- El Paso, TX
- NPI 1821619115
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.