MICHAEL M. FANOUS, D.P.M., INC.
NPI 1083796726
Podiatrist - Foot & Ankle Surgery in Victorville, CA

Active since October 20, 2006
15366 11TH ST, SUITE D, VICTORVILLE, CA 92395(760) 951-1238 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael M. Fanous, D.p.m., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL M. FANOUS, D.P.M., INC. (NPI 1083796726) is a healthcare organization registered as a foot & ankle surgery in Victorville, California and active in the NPI registry since October 2006. The organization lists Michael M. Fanous, President, as its authorized official.

NPPES Registry Identity

NPI1083796726
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMICHAEL M. FANOUS, D.P.M., INC.
Location Address15366 11TH ST, SUITE DVictorville, CA 92395-3726
Mailing Address2834 Hamner Ave, # 113Norco, CA 92860-1929 · (760) 951-1238
Organization SubpartNo
Authorized OfficialMichael M. FanousPresident · (760) 951-1238
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 31, 2008
NPI 1083796726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E3544
15366 11TH ST, Victorville, CA 92395

Other Identifiers 3

Medicare UPINT82756CA
Medicare ID-Type UnspecifiedZZZ02340ZCA · Medicare #
Medicare NSC6034990001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
15366 11TH ST, SUITE F
VICTORVILLE, CA 92395
Podiatrist (Foot & Ankle Surgery)
15366 11TH ST, SUITE A
VICTORVILLE, CA 92395
Podiatrist
15366 11TH ST, STE A
VICTORVILLE, CA 92395
Physician Assistant
15366 11TH ST, SUITE K
VICTORVILLE, CA 92395
Nurse Practitioner
15366 11TH ST
VICTORVILLE, CA 92395
Dentist (General Practice)
15366 11TH ST, SUITE F
VICTORVILLE, CA 92395
Preventive Medicine (Public Health & General Preventive Medicine)
15366 11TH ST, SUITE K
VICTORVILLE, CA 92395
Obstetrics & Gynecology
15366 11TH ST, SUITE N
VICTORVILLE, CA 92395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael M. Fanous, D.P.M., Inc.'s NPI number?

The NPI number for Michael M. Fanous, D.P.M., Inc. is 1083796726. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Michael M. Fanous, D.P.M., Inc. located?

Michael M. Fanous, D.P.M., Inc. is located at 15366 11th St Suite D, Victorville, CA 92395. The listed phone number is (760) 951-1238.

What is Michael M. Fanous, D.P.M., Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Michael M. Fanous, D.P.M., Inc. was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.