Healthcare Provider Details

I. General information

NPI: 1831037381
Provider Name (Legal Business Name): PRECIOUS M SUBIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 ORCUTT RD
SANTA MARIA CA
93455
US

IV. Provider business mailing address

420 EMBASSY AVE
SANTA MARIA CA
93458-1020
US

V. Phone/Fax

Practice location:
  • Phone: 805-937-2826
  • Fax:
Mailing address:
  • Phone: 909-674-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: