Individual provider Active NPI

Ahmed Fasihuddin Khan, M.D.

  • Sports Medicine (Family Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1497018410
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A161223 Issued in CA
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(888) 803-3370
NPI assigned
Jun 25, 2012
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A161223 CA Primary

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

PO Box 4039
Orange, CA 92863-4039
Phone (714) 571-5000

Other practice location 1

433 N Camden Dr Ste 610
Beverly Hills, CA 90210-4416
Phone (888) 803-3370

Other practice location 2

790 N Milwaukee St Ste 313
Milwaukee, WI 53202-4148
Phone (888) 803-3370

Other practice location 3

25 Hidden Ravines Dr
Powell, OH 43065-9883
Phone (614) 636-2378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190712000358 CA Practitioner - Sports MedicinePractitioner - Family Practice 2264745041 Reassigns benefits to 1 organization
I20210706002890 OH Practitioner - Family PracticePractitioner - Sports Medicine 2264745041 Reassigns benefits to 1 organization
I20260224003832 WI Practitioner - Family Practice 2264745041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Circle Medical Care of CaliforniaGroup PAC ID 3870894579, 71 clinicians

Practice addresses (Care Compare)

25 Hidden Ravines Dr
Powell, OH 43065-9883
Phone (614) 636-2378

25 Hidden Ravines Dr
Powell, OH 43065-9884

333 1St St
Suite a
San Francisco, CA 94105-2661
Phone (888) 803-3370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3668WIMDCounseling Psychologist
A161223CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California CurrentSince Aug 20, 2024 Accepting new patients
Columbus Center for Sports and Regenerative Medicine LLC Sports Medicine CurrentSince May 23, 2025 Accepting new patients
Circle Medical Care Group PA CurrentSince Jan 14, 2026 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

25 Hidden Ravines Dr
Powell, OH 43065
Phone (614) 739-8166

25 Hidden Ravines Dr
Ste D
Powell, OH 43065

790 N Milwaukee St
Ste 313
Milwaukee, WI 53202

Interoperability endpoints

  • Direct secure messaging: akhan@akhanmd.medentdirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1497018410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4039",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928634039",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 N Camden Dr Ste 610",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104416",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 N Milwaukee St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532024148",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hidden Ravines Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430659883",
            "country_code": "US",
            "telephone_number": "614-636-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AHMED",
        "middle_name": "FASIHUDDIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A161223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.