Basem Fanous, M.D. a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BASEM FANOUS, M.D. A PROFESSIONAL CORPORATION

Practice address

14124 Foothill Blvd Ste 100
Sylmar, CA 91342-8051

Phone

(818) 486-8138

Fax

(818) 486-8138

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Basem Fanous, MDNPI 1619072600

Title

Ceo

Phone

(818) 486-8138

Specialties & licenses 4

Addresses

Other names 1

• N/A Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Basem Fanous, MD

  • Internal Medicine Physician
  • Sylmar, CA
  • NPI 1619072600
  NPD Authorized official

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1730992009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20312 HOWARD CT",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645668",
            "telephone_number": "818-486-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD STE 100",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428051",
            "telephone_number": "818-486-8138",
            "fax_number": "818-486-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASEM FANOUS, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "FANOUS",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-486-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Iris Barragan
• Rosa Alicia Barragan, ACSW
• Deborah Barraza, RN
• Andres Sebastian Barrera
• Patricia Ceralde Bartolome
• Raveena Singh Basra, MD
• Erica Bass, MD
• Wendy Bass
• Theresa Babar Batac, RPT
• Nancy D Batalas, LCSW

• Internal Medicine Physician in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.