Healthcare Provider Details

I. General information

NPI: 1568492759
Provider Name (Legal Business Name): EMAD ALDIN HASHEMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 S HARBOR BLVD
SANTA ANA CA
92704-6919
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 714-929-2300
  • Fax:
Mailing address:
  • Phone: 702-579-3203
  • Fax: 661-368-0618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA93435
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MAO7821200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: