Healthcare Provider Details

I. General information

NPI: 1356769699
Provider Name (Legal Business Name): SEAN HASHEMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 EL CAMINO REAL STE 400
PALO ALTO CA
94306-1054
US

IV. Provider business mailing address

1691 EL CAMINO REAL STE 400
PALO ALTO CA
94306-1054
US

V. Phone/Fax

Practice location:
  • Phone: 650-313-2338
  • Fax: 650-560-3738
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberA161622
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberA161622
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: