Brandon Michael Fonseca, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130684 Issued in CA

Practice address

3191 W Temple Ave Ste 150
Pomona, CA 91768-3243

Phone

(626) 206-3139

NPI assigned

Sep 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McCormick Psychology Group

  dba Psykhe Center

  • Health Psychologist
  • Irvine, CA
  • NPI 1306621990
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1104475524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 W TEMPLE AVE STE 150",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683243",
            "telephone_number": "714-409-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 W TEMPLE AVE STE 150",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683243",
            "telephone_number": "626-206-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18003 Sky Park Cir Ste H2",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146526",
            "country_code": "US",
            "telephone_number": "714-409-5057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Great America Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950541140",
            "country_code": "US",
            "telephone_number": "714-409-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Flotron
• Steven A Floum, M.D.
• Mariam Fltas, BT
• Mary Fluke, LPT
• Lauren Eilleen Flynn
• Foothill Accountable Care Medical Group, Inc.
• Foothill Community Medical Corporation (San Rafael Community Medical Clinic)
• Foothill Urology Specialists, a Professional Medical Corporation (Foothill Urology Specialists)
• Brandon Forbes Pulley
• Patrick Lee Forcier

• Clinical Social Worker in Pomona, CA
• Providers in Pomona, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.