NPIMap

Organization Active NPI

Step Up on Second Street, Inc.

Doing business as Step Up on Second -Santa Ana

  • Community/Behavioral Health Agency
  • Santa Ana, CA
National Provider Identifier
1255195996
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STEP UP ON SECOND STREET, INC.
Doing business as
Step Up on Second -Santa Ana
Practice address
3314 W 1St St Ste B
Santa Ana, CA 92703-5449
Phone
(714) 296-9361
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
David Mark Tavlin
Title
Chief Program Office
Phone
(310) 985-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3314 W 1St St Ste B
Santa Ana, CA 92703-5449

Mailing address

3314 W 1St St Ste B
Santa Ana, CA 92703-5449
Phone (714) 296-9361

Other names 1

  • Step Up on Second -Santa Ana Doing business as

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.

Locations

3314 W 1st St
Ste B
Santa Ana, CA 92703
Phone (714) 296-9361

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1255195996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 W 1ST ST STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927035449",
            "telephone_number": "714-296-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 W 1ST ST STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927035449",
            "telephone_number": "714-296-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP ON SECOND STREET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "TAVLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICE",
        "authorized_official_telephone_number": "310-985-5250"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step Up on Second -Santa Ana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.