Brian Vanfossen

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

23462 Issued in CA

Practice address

3434 Midway Dr Ste 2001
San Diego, CA 92110-4924

Phone

(619) 325-1161

Fax

(619) 325-1717

NPI assigned

Nov 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Algos Inc a Medical Corporation 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles (6 of 7)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Pasadena, CA
  • NPI 1497747356

  CA

  Medicare reassignment Care Compare group NPD
• Synovation Medical Group, LLC

  • Interventional Pain Medicine Physician
  • South Miami, FL
  • NPI 1306942602

  FL

  Medicare reassignment NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Visalia, CA
  • NPI 1245832419
  Care Compare group NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • San Diego, CA
  • NPI 1326425661
  Care Compare group
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Chino, CA
  • NPI 1619227055
  Care Compare group
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Simi Valley, CA
  • NPI 1063890275
  NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Los Angeles, CA
  • NPI 1649612094
  NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Rancho Mirage, CA
  • NPI 1336695675
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1396072500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DR STE 2001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104924",
            "telephone_number": "619-325-1161",
            "fax_number": "619-325-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DR STE 2001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104924",
            "telephone_number": "619-325-1161",
            "fax_number": "619-325-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFOSSEN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY60013796",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Renee Vandyke, MSN, PMHNP-BC
• Susannah Lynn Vandyke, M.A.
• Aaron M Vandyne, MD
• Jackson Vane, MD
• Vanessa Villasenor Licensed Marriage and Family Therapist Inc
• May Bao Vang
• Panhia Vang
• Wendy Vang
• Sara Vanharen, SFIDC
• Vanhoose & Kimball Optometric Corp

• All providers in San Diego, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.