Individual provider Active NPI

Elias Jason Fanous, MD

  • Cardiovascular Disease Physician
  • Escondido, CA
National Provider Identifier
1528528569
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A179829 Issued in CA
Practice address
2130 Citracado Pkwy Ste 220
Escondido, CA 92029-4151
Phone
(760) 743-0546
Fax
(760) 317-9769
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A179829 CA
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X A179829 CA Primary

Addresses

Primary practice location

2130 Citracado Pkwy Ste 220
Escondido, CA 92029-4151

Mailing address

2130 Citracado Pkwy Ste 220
Escondido, CA 92029-4151
Phone (951) 902-9475

Other practice location 1

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (310) 267-7849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240518000620 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547601700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Un of California, Riverside, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone (858) 673-2450

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179829CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Mar 7, 2025 Accepting new patients
Arch Health Partners, Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Hospital Medicine of California Inc Internal Medicine CurrentSince Apr 6, 2024 Accepting new patients

Locations

2130 Citracado Pkwy
Ste 220
Escondido, CA 92029
Phone (619) 823-3146

2130 Citracado Pkwy
Escondido, CA 92029
Phone (858) 485-1111

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

120 Craven Rd
Ste 201
San Marcos, CA 92078

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elias.fanous.p1@direct.arch.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1528528569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CITRACADO PKWY STE 220",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294151",
            "telephone_number": "951-902-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CITRACADO PKWY STE 220",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294151",
            "telephone_number": "760-743-0546",
            "fax_number": "760-317-9769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958358",
            "country_code": "US",
            "telephone_number": "310-267-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANOUS",
        "first_name": "ELIAS",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A179829",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A179829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.