Organization Active NPI

Hemlock Medical, Inc.

  • Primary Care Clinic/Center
  • Cedarhurst, NY
National Provider Identifier
1669368528
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEMLOCK MEDICAL, INC.
Practice address
5 Ivy Street
Cedarhurst, NY 11516
Phone
(415) 795-2615
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Shervin Bakhtiari
Title
Secretary
Phone
(604) 716-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5 Ivy Street
Cedarhurst, NY 11516

Mailing address

548 Market St Ste 52789
San Francisco, CA 94104-5401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1669368528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST STE 52789",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 IVY STREET",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "415-795-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMLOCK MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BAKHTIARI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "604-716-6468"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.