Organization Active NPI

Cielo Medical Clinic

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1760209159
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CIELO MEDICAL CLINIC
Practice address
4224 Cypress Creek Pkwy Ste 301
Houston, TX 77068-3466
Phone
(281) 972-7301
Fax
(281) 972-7654
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mr. Angel Santos Mazquiaran, FNPNPI 1639785355
Title
FNP
Phone
(281) 972-7301

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4224 Cypress Creek Pkwy Ste 301
Houston, TX 77068-3466

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123003797 TX Part B Supplier - Clinic/Group Practice 5890224646 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2312482Cielo Medical Clinic4224 Cypress Creek Pkwy, Suite 301, Houston, TX 77068Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1760209159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 CYPRESS CREEK PKWY STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683466",
            "telephone_number": "281-972-7301",
            "fax_number": "281-972-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 CYPRESS CREEK PKWY STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683466",
            "telephone_number": "281-972-7301",
            "fax_number": "281-972-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIELO MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "SANTOS MAZQUIARAN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "281-972-7301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.