NPIMap

Organization Active NPI

Step Up on Second Street Inc.

Doing business as Step Up on Second-San Bernardino

  • Community/Behavioral Health Agency
  • San Bernardino, CA
National Provider Identifier
1285186353
Registry record updated Nov 21, 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-San Bernardino
Practice address
290 N D St Ste 700
San Bernardino, CA 92401-1705
Phone
(909) 963-5355
Fax
(424) 500-8526
NPI assigned
Oct 25, 2016
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mr. Tod Lipka
Title
Ceo
Phone
(909) 963-5355

Specialties & licenses 1

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

Addresses

Primary practice location

290 N D St Ste 700
San Bernardino, CA 92401-1705

Mailing address

290 N D St Ste 700
San Bernardino, CA 92401-1705
Phone (909) 963-5355

Other names 1

  • Step Up on Second-San Bernardino Doing business as

National Provider Directory

National Provider Directory

Locations

6362 Hollywood Blvd
Ste 214
Los Angeles, CA 90028
Phone (323) 798-4474

141 N Arrowhead Ave
Ste 23
San Bernardino, CA 92408
Phone (909) 963-5355

290 N D St
Ste 700
San Bernardino, CA 92401
Phone (909) 963-5355

600 N Arrowhead Ave
San Bernardino, CA 92401
Phone (909) 522-4656

3435 Ocean Park Blvd
Ste 207
Santa Monica, CA 90405
Phone (310) 392-9474

Practitioners & affiliated clinicians

Practitioners 237

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.

View all 237

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1285186353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N D ST STE 700",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011705",
            "telephone_number": "909-963-5355",
            "fax_number": "424-500-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N D ST STE 700",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011705",
            "telephone_number": "909-963-5355",
            "fax_number": "424-500-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP ON SECOND STREET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "LIPKA",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-963-5355",
        "authorized_official_name_prefix": "Mr."
    },
    "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-San Bernardino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

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