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

Mr. Randy Fanous, MD

Individual provider Diagnostic Radiology Physician · NPI 1215207048

Mr. Randy Fanous, MD is a Diagnostic Radiology in San Diego, California. Qualified in 2007, 19 years ago. Practices with Arh Tug Valley Health Services, Inc, a 106-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2012
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

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (858) 657-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A118896 (CA)

Record details

NPI number1215207048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 10, 2012
Last updated in NPPESJanuary 10, 2012

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Arh Tug Valley Health Services, Inc. — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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