Organization Active NPI

Sep Community Clinic

  • Community Health Clinic/Center
  • Walnut Park, CA
National Provider Identifier
1932909645
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Sepehr Katiraie, MDNPI 1225084213
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.