Individual provider Active NPI

Brianna Subero

  • Psychiatric/Mental Health Nurse Practitioner
  • Indio, CA
National Provider Identifier
1932646619
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023438 Issued in CA
Practice address
44359 Palm St
Indio, CA 92201-3116
Phone
(909) 341-3687
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023438 CA Primary

Addresses

Primary practice location

44359 Palm St
Indio, CA 92201-3116

Mailing address

44359 Palm St
Indio, CA 92201-3116
Phone (760) 342-6616

Other practice location 1

13525 Cielo Azul Way
Desert Hot Springs, CA 92240-6235
Phone (760) 329-4673

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231020001834 CA Practitioner - Nurse Practitioner 5294181699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

58383 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-5891
Phone (760) 365-9305

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Hi -Desert Memorial Health Care District Current Accepting new patients
Hi-Desert Memorial Health Care District CurrentSince Jan 12, 2024 Accepting new patients
Mission City Community Network, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Soroptimist House of Hope, Inc Past Accepting new patients
Hemmat Health, PC Past Accepting new patients
A.B.C. Recovery Center, Inc. Past Accepting new patients
Hi-Desert Memorial Health Care District Past Accepting new patients
A.B.C. Recovery Center, Inc. Past Accepting new patients
A Change in Trajectory, Inc. PastSince Jun 1, 2021 Accepting new patients
A.B.C. Recovery Center, Inc. Past Accepting new patients

Locations

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

15206 Parthenia St
Sepulveda, CA 91343

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

58383 29 Palms Hwy
Ste 101
Yucca Valley, CA 92284
Phone (760) 820-9229

58375 29 Palms Hwy
Yucca Valley, CA 92284
Phone 76036593051604

6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1932646619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44359 PALM ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013116",
            "telephone_number": "760-342-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44359 PALM ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013116",
            "telephone_number": "909-341-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13525 Cielo Azul Way",
            "address_purpose": "LOCATION",
            "city": "Desert Hot Springs",
            "state": "CA",
            "postal_code": "922406235",
            "country_code": "US",
            "telephone_number": "760-329-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBERO",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.