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Agewell Medical Group Inc

Family Medicine Physician in Burbank, CA · enumerated 2025 · authorized official Basem Farag, President/MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649142399

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Registry record

Entity type Organization (Type 2)
Legal business name Agewell Medical Group Inc
Practice address 142 W Verdugo Ave, Burbank, CA, 91502
Phone (818) 588-3705
Fax (818) 588-3685
Enumeration date Sep 22, 2025
Last updated in NPPES Nov 7, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Basem Farag
Title President/MD
Phone (818) 588-3705

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Agewell Medical Group Inc?
NPPES lists Basem Farag (President/MD) as the authorized official for this organization.
What is the NPI number for Agewell Medical Group Inc?
The NPI for Agewell Medical Group Inc is 1649142399, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-07.