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

Basem Fanous, MD a Professional Corporation

Organization Adult Medicine Physician · NPI 1730992009

Basem Fanous, MD a Professional Corporation is an Adult Medicine Physician in Sylmar, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4

Practice location Address checks out

14124 Foothill Blvd Ste 100
Sylmar, CA 91342-8051
Phone: (818) 486-8138
Fax: (818) 486-8138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Adult Medicine Physician Taxonomy 207QA0505X
Medical Physician Assistant Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1730992009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basem Fanous — Ceo · (818) 486-8138
Other names N/A
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address20312 Howard Ct, Woodland Hills, CA 91364-5668

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