Organization Active NPI

Step Up on Second

  • Case Management Agency
  • Santa Monica, CA
National Provider Identifier
1124200183
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STEP UP ON SECOND
Practice address
1328 2ND St
Santa Monica, CA 90401-1122
Phone
(310) 394-6889
Fax
(310) 395-0749
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Edward Parker
Title
Street Outreach Coordinator
Phone
(310) 394-6889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1328 2ND St
Santa Monica, CA 90401-1122

Mailing address

1328 2ND St
Santa Monica, CA 90401-1122
Phone (310) 394-6889

National Provider Directory

National Provider Directory
Tax ID family
Step Up on Second Street Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1124200183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 2ND ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011122",
            "telephone_number": "310-394-6889",
            "fax_number": "310-395-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 2ND ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011122",
            "telephone_number": "310-394-6889",
            "fax_number": "310-395-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP ON SECOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "STREET OUTREACH COORDINATOR",
        "authorized_official_telephone_number": "310-394-6889"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.