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

Basem Fanous, MD

Individual provider Internal Medicine Physician · NPI 1619072600

Basem Fanous, MD is an Internal Medicine in Sylmar, California. Qualified in 1985, 41 years ago. Practices with Herbert S Radley MD and Harold M Cohen MD Medical Corporation, a 4-clinician group and offers telehealth. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14124 Foothill Blvd Ste 100
Sylmar, CA 91342
Phone: (818) 367-1012
Fax: (818) 367-7570
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A053406 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A53406 (CA)

Record details

NPI number1619072600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020
Mailing address14124 Foothill Blvd, Suite 100, Sylmar, CA 91342

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Herbert S Radley Md And Harold M Cohen Md Medical Corporation — 4 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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