Active NPI
Sep Community Clinic
- Community Health Clinic/Center
- Walnut Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- SEP COMMUNITY CLINIC
- Practice address
- 2638 E Florence Ave
Walnut Park, CA 90255-4708 - Phone
- (323) 588-3800
- Fax
- (323) 277-0399
- NPI assigned
- Mar 13, 2025
- Last updated
- Mar 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sepehr Katiraie, MD
- Title
- Ceo
- Phone
- (323) 588-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | NU | Primary |
Addresses
Primary practice location
2638 E Florence Ave
Walnut Park, CA 90255-4708
Mailing address
2638 E Florence Ave
Walnut Park, CA 90255-4708
Phone (323) 588-3800
National Provider Directory
National Provider DirectoryLocations
2638 E Florence Ave
Walnut Park, CA 90255
Phone (323) 581-4665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Huntington Park, CA
- NPI 1225084213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1932909645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2638 E FLORENCE AVE",
"city": "WALNUT PARK",
"state": "CA",
"postal_code": "902554708",
"telephone_number": "323-588-3800",
"fax_number": "323-277-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2638 E FLORENCE AVE",
"city": "WALNUT PARK",
"state": "CA",
"postal_code": "902554708",
"telephone_number": "323-588-3800",
"fax_number": "323-277-0399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEP COMMUNITY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "KATIRAIE",
"authorized_official_first_name": "SEPEHR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-588-3800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.