Healthcare Provider Details

I. General information

NPI: 1285793893
Provider Name (Legal Business Name): NADER A. KASHANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 WATERWORKS WAY STE 245
IRVINE CA
92618-3175
US

IV. Provider business mailing address

10800 MAGNOLIA AVE
RIVERSIDE CA
92505-3043
US

V. Phone/Fax

Practice location:
  • Phone: 949-777-5970
  • Fax: 949-649-7447
Mailing address:
  • Phone: 909-353-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD-23891
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberG66680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: