Individual provider Active NPI

Angel Ramon Santos Mazquiaran, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1639785355
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1028775 Issued in TX
Practice address
10656 Jones Rd
Houston, TX 77065-4214
Phone
(281) 970-6966
Fax
(281) 970-6983
NPI assigned
Sep 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1028775 TX Primary

Addresses

Primary practice location

10656 Jones Rd
Houston, TX 77065-4214

Mailing address

3010 Fort Stockton Dr
Katy, TX 77449-6255
Phone (832) 858-4407

Other practice location 1

3010 Fort Stockton Dr
Katy, TX 77449-6255
Phone (832) 858-4407

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501000249 TX Practitioner - Nurse Practitioner 9234579798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cielo Medical ClinicGroup PAC ID 5890224646, 2 clinicians

Practice addresses (Care Compare)

10656 Jones Rd
Houston, TX 77065-4214
Phone (281) 970-6966

4224 Cypress Creek Pkwy
Suite 301
Houston, TX 77068-3466
Phone (281) 972-7301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Quality Medical Services PLLC CurrentSince Mar 6, 2024 Accepting new patients
Cielo Medical Clinic CurrentSince Dec 17, 2024 Accepting new patients

Locations

10656 Jones Rd
Houston, TX 77065
Phone (281) 970-6966

4224 Cypress Creek Pkwy
Ste 301
Houston, TX 77068
Phone (281) 972-7301

10868 FM 1960 Rd W
Houston, TX 77070

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.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1639785355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 FORT STOCKTON DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496255",
            "telephone_number": "832-858-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10656 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654214",
            "telephone_number": "281-970-6966",
            "fax_number": "281-970-6983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Fort Stockton Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774496255",
            "country_code": "US",
            "telephone_number": "832-858-4407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS MAZQUIARAN",
        "first_name": "ANGEL",
        "middle_name": "RAMON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1028775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.