Brandon Bishop, PPS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LEP4092 Issued in CA

Practice address

6625 La Palma Ave
Buena Park, CA 90620-2859

Phone

(714) 228-3100

NPI assigned

Feb 5, 2025

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

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1255145603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 OCEANVIEW DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LA PALMA AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202859",
            "telephone_number": "714-228-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BRANDON",
        "credential": "PPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisha B Bhakta, DMD
• Arpita Bhavsar
• Big Little Voices
• Binh T. Bui, DDS, Inc.
• Pat I Biosah, RN
• Glenda Bloemhof, RN
• Bluehill Acupuncture & Wellness Center
• Raymond Boetger, MS CCC-SLP
• Maria Luisa Bollier, PT DPT CHT
• Bonlavie Hospice, Inc.

• Psychologist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.