MUSTAFA KHAN M.D.
NPI 1710253430
Physical Medicine & Rehabilitation in Fontana, CA

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 724-7464 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2021, Oct 19, 2016 (2 updates tracked since 2016).

About Mustafa Khan M.d. NPPES

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

MUSTAFA KHAN M.D. (NPI 1710253430) is an individual physical medicine & rehabilitation provider in Fontana, California, licensed in California (A145306) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1710253430
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMUSTAFA KHANCredential: M.D.
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 27, 2012
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
✔ NPI 1710253430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in CA · A145306
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
9961 SIERRA AVE, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mustafa Khan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183949845
PECOS Enrollment IDI20161114001133
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mustafa Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335

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 Mustafa Khan's NPI number?

The NPI number for Mustafa Khan is 1710253430. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Mustafa Khan located?

Mustafa Khan practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 724-7464.

What is Mustafa Khan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Mustafa Khan enrolled in Medicare?

Yes. Mustafa Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mustafa Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustafa Khan reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mustafa Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mustafa Khan was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.