Individual provider Active NPI

Afshan Husain

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1205368289
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME177962 Issued in FL
Practice address
425 California St Ste 1400
San Francisco, CA 94104-2116
Phone
(831) 484-7713
Fax
(650) 360-0447
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME177962 FL Primary
Family Medicine Physician 207Q00000X 036.157749 IL
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A174215 CA

Addresses

Primary practice location

425 California St Ste 1400
San Francisco, CA 94104-2116

Mailing address

425 California St Ste 1400
San Francisco, CA 94104-2116
Phone (831) 484-7713

Other practice location 1

2213 Cherry St
mercy st vincent medical center
Toledo, OH 43608-2603
Phone (419) 251-4554

Other practice location 2

4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone (419) 251-4554

Other identifiers 1

IdentifierTypeStateIssuer
036.157749MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229001580 IL Practitioner - Family Practice 9638583156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174215CAMDFamily Medicine Physician
ME177962FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Brown Health Center CurrentSince Nov 29, 2021 Accepting new patients
Howard Brown Health Center CurrentSince Nov 29, 2021 Accepting new patients
Howard Brown Health Center Current Accepting new patients
Howard Brown Health Center Past Accepting new patients
Active Wellness, LLC Past Accepting new patients

Locations

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

1025 W Sunnyside Ave
Ste 100
Chicago, IL 60640

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1205368289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CALIFORNIA ST STE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042116",
            "telephone_number": "831-484-7713",
            "fax_number": "650-360-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CALIFORNIA ST STE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042116",
            "telephone_number": "831-484-7713",
            "fax_number": "650-360-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_2": "mercy st vincent medical center",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-4554",
            "fax_number": "419-251-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 N SHERIDAN RD",
            "address_purpose": "LOCATION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132010",
            "country_code": "US",
            "telephone_number": "419-251-4554",
            "fax_number": "419-251-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "AFSHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME177962",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.157749",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A174215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.157749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.