Active NPI
John Robert San Pedro Faustino, NURSE PRACTITIONER
- Acute Care Nurse Practitioner
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1071782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Memorial Hermann Memorial City Hospital
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 827204 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Current | 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
- 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.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
-
- Cardiac Rehabilitation Clinic/Center
- Humble, TX
- NPI 1598407017
-
- Cardiovascular Disease Physician
- Humble, TX
- NPI 1720550015
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.