Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brian Vanfossen

Individual provider Clinical Neuropsychologist · NPI 1396072500

Dr. Brian Vanfossen is a Clinical Psychologist in San Diego, California. Qualified in 2006, 20 years ago. Practices with Algos Inc a Medical Corporation, a 23-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
20
Licensed in
CA, WA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

3434 Midway Dr Ste 2001
San Diego, CA 92110-4924
Phone: (619) 325-1161
Fax: (619) 325-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 23462 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PY60013796 (WA)

Record details

NPI number1396072500
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2009
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Algos Inc A Medical Corporation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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