Active NPI
Cielo Medical Clinic
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1760209159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Angel Santos Mazquiaran, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2312482 | Cielo Medical Clinic | Certificate of waiver | Oct 10, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1639785355
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1104417161
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.