Sepulveda Optimal Health Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SEPULVEDA OPTIMAL HEALTH CARE INC

Practice address

15243 Vanowen St Ste 403
Van Nuys, CA 91405-3611

Phone

(818) 836-0608

NPI assigned

Dec 14, 2021

Last updated

Apr 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaveh Karandish, MD

Title

Ceo/Owner

Phone

(818) 836-0608

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1568121887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 403",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053611",
            "telephone_number": "818-836-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST STE 403",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053611",
            "telephone_number": "818-836-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPULVEDA OPTIMAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "KARANDISH",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-836-0608",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "C168905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Medical Products Inc
• Senior Palliative Care
• Senior Safe Hospice Inc
• Seong Gon Bae MD Inc
• Tannaz Separzadeh, LMFT
• Sepulveda Rehabilitation Center
• Blanca Isela Sepulveda, M.S.
• Sera Healthcare
• Serani Homehealth
• Serani Hospice

• Primary Care Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.