Individual provider Active NPI

Brent Farrell Fletcher, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1194791533
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A96149 Issued in CA
Practice address
5755 Oberlin Dr Ste 301
San Diego, CA 92121-4717
Phone
(858) 239-2277
NPI assigned
Feb 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A96149 CA Primary
Psychiatry Physician 2084P0800X A96149 CA

Addresses

Primary practice location

5755 Oberlin Dr Ste 301
San Diego, CA 92121-4717

Mailing address

PO Box 26517
San Diego, CA 92196-0517
Phone (858) 239-2277

Other names 1

  • Dr. Brent Farrell Fletcher Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

462 Stevens Ave
Suite 206
Solana Beach, CA 92075-2065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A96149CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher and Associates Psychiatry, Inc. Psychiatry CurrentSince Oct 1, 2023 Accepting new patients
Mission Psychiatric Inc. Psychiatry CurrentSince May 25, 2026 Accepting new patients
Fletcher and Associates Psychiatry P.C. CurrentSince Jan 28, 2024 Accepting new patients

Locations

25109 Jefferson Ave
Ste 325
Murrieta, CA 92562
Phone (951) 477-4934

5755 Oberlin Dr
Ste 301
San Diego, CA 92121
Phone (435) 512-9912

462 Stevens Ave
Ste 206
Solana Beach, CA 92075
Phone (619) 685-0649

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.

NPI Registry JSON

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1194791533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26517",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921960517",
            "telephone_number": "858-239-2277",
            "fax_number": "415-536-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214717",
            "telephone_number": "858-239-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "BRENT",
        "middle_name": "FARRELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-26",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A96149",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A96149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENT",
            "last_name": "FLETCHER",
            "middle_name": "FARRELL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.