Brian David Johnson, PH.D., NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP22980 Issued in CA

Practice address

1836 N Mira Loma Way
Palm Springs, CA 92262-2977

Phone

(310) 989-5654

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Exodus Recovery Inc

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1245441906
  Medicare reassignment NPD
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1083943005
  NPD
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1174300412
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1407865660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 N MIRA LOMA WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622977",
            "telephone_number": "310-989-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 N MIRA LOMA WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622977",
            "telephone_number": "310-989-5654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3147 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-7180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3127 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-7180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 E Cesar Chavez Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-7180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 E Tahquitz Canyon Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922626797",
            "country_code": "US",
            "telephone_number": "310-989-5654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3520 E Shields Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266923",
            "country_code": "US",
            "telephone_number": "559-600-7180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133B N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-7180 x81230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D., NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "13975",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP22980",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D. Stansell, M.D., Inc
• John H. Lake, D.D.S. Inc
• Aliana Renee Johns, NP
• Benjamin Joseph Johnson
• Benjamin P Johnson
• Francesca Louise Johnson, M.D.
• Heather Jones - Gochis, MD
• James Arthur Jones, AMFT 135667
• Jodie Jones, A.A.
• Landy Jones, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.

Verify at the official NPI Registry.