Individual provider Active NPI

John Robert San Pedro Faustino, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1922734755
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1071782 Issued in TX
Practice address
27700 Northwest Fwy Ste 490
Cypress, TX 77433-8104
Phone
(832) 658-7220
Fax
(832) 553-9853
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 827204 TX
Acute Care Nurse Practitioner 363LA2100X 1071782 TX Primary

Addresses

Primary practice location

27700 Northwest Fwy Ste 490
Cypress, TX 77433-8104

Mailing address

930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450
Phone (713) 338-4523

Other practice location 1

27700 Northwest Fwy Ste 601
Cypress, TX 77433-7202
Phone (346) 231-6850

Other practice location 2

27700 Northwest Fwy Ste 600
Cypress, TX 77433-7218
Phone (346) 231-6750

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
I20220906003425 TX Practitioner - Nurse Practitioner 1355725664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

27700 Northwest Fwy
Suite 490
Cypress, TX 77433-8104
Phone (832) 658-7220

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
827204TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Rajiv Agarwal MD PA Current Accepting new patients

Locations

27700 NW Freeway
Ste 490
Cypress, TX 77433
Phone (281) 895-3376

27700 NW Freeway
Ste 601
Cypress, TX 77433
Phone (346) 231-6850

27700 NW Freeway
Ste 600
Cypress, TX 77433
Phone (346) 231-6750

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

18980 W Memorial Dr
Ste 100
Humble, TX 77338
Phone (832) 644-8930

18835 McKay Dr
Humble, TX 77338
Phone (832) 644-8930

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

Interoperability endpoints

  • Direct secure messaging: john.faustino.1@11939.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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1922734755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FROSTWOOD DR STE 2.200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242450",
            "telephone_number": "713-338-4523",
            "fax_number": "713-338-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 NORTHWEST FWY STE 490",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774338104",
            "telephone_number": "832-658-7220",
            "fax_number": "832-553-9853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27700 Northwest Fwy Ste 601",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337202",
            "country_code": "US",
            "telephone_number": "346-231-6850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27700 Northwest Fwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337218",
            "country_code": "US",
            "telephone_number": "346-231-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSTINO",
        "first_name": "JOHN ROBERT",
        "middle_name": "SAN PEDRO",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "827204",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1071782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.