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

Dr. Michael M Fanous, DPM , Inc

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1639115454

Dr. Michael M Fanous, DPM , Inc is a Podiatry in Victorville, California. Graduated from Kent State University College of Podiatric Medicine in 1987, 39 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
Kent State University College of Podiatric Medicine
Licensed in
CA
In the registry since
2006

Practice location Address checks out

15366 11th St Ste D
Victorville, CA 92395-3726
Phone: (760) 951-1238
Fax: (760) 951-1473
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E3544 (CA)

Record details

NPI number1639115454
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESAugust 20, 2019

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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