DR. BRIAN VANFOSSEN
NPI 1396072500
Psychologist - Clinical in San Diego, CA

Q: What is Brian Vanfossen's NPI number?

The NPI number for Brian Vanfossen is 1396072500. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Q: What is Brian Vanfossen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Vanfossen was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2009PECOS EnrolledAccepts Medicare Assignment

3434 MIDWAY DR STE 2001, SAN DIEGO, CA 92110(619) 325-1161(619) 325-1717 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, May 27, 2021 (2 updates tracked since 2021).

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About Dr. Brian Vanfossen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN VANFOSSEN (NPI 1396072500) is an individual clinical provider in San Diego, California, licensed in California (23462) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396072500

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRIAN VANFOSSEN

Location Address3434 MIDWAY DR STE 2001San Diego, CA 92110-4924

Mailing Address3434 Midway Dr Ste 2001San Diego, CA 92110-4924 · (619) 325-1161 · Fax (619) 325-1717

Phone(619) 325-1161

Fax(619) 325-1717

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 9, 2009

Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1396072500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 23462

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PY60013796 (WA)

3434 MIDWAY DR STE 2001, San Diego, CA 92110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Vanfossen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325179609

PECOS Enrollment IDI20100630000595

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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