Organization Active NPI

Sun City Dietitians

  • Registered Dietitian
  • El Paso, TX
National Provider Identifier
1962964296
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SUN CITY DIETITIANS
Practice address
2601 E Yandell Dr Ste 104
El Paso, TX 79903-3743
Phone
(915) 262-6192
Fax
(833) 526-6362
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Dr. Sarah L Ruiz, PHD, RD, LD, CDCESNPI 1073971495
Title
Owner
Phone
(915) 262-6192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Pediatric Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1004X
Metabolic Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1006X
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1201X

Addresses

Primary practice location

2601 E Yandell Dr Ste 104
El Paso, TX 79903-3743

Mailing address

2601 E Yandell Dr Ste 104
El Paso, TX 79903-3743
Phone (915) 262-6192

Other identifiers 4

IdentifierTypeStateIssuer
448773801MedicaidTX
397783702MedicaidTX
453480201MedicaidTX
91582041MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190613001037 TX Part B Supplier - Clinic/Group Practice 2062745623 Receives reassigned benefits from 4 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

6060 Surety Dr
Ste 100
El Paso, TX 79905
Phone (915) 262-6192

2601 E Yandell Dr
Ste 101
El Paso, TX 79903
Phone (915) 262-6192

6060 Surety Dr
El Paso, TX 79905

2270 Joe Battle Blvd
Ste Eg
El Paso, TX 79938
Phone (915) 642-9444

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1962964296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E YANDELL DR STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033743",
            "telephone_number": "915-262-6192",
            "fax_number": "833-526-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E YANDELL DR STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033743",
            "telephone_number": "915-262-6192",
            "fax_number": "833-526-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY DIETITIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-262-6192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RD, LD, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448773801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397783702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453480201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91582041",
            "state": "NM"
        }
    ],
    "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 Jan 31, 2024; 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.

Verify at the official NPI Registry.