NPIMap

Organization Active NPI

Step Up on Second Street, Inc.

Doing business as Step Up On Second Street-Victorville

  • Community/Behavioral Health Agency
  • Victorville, CA
National Provider Identifier
1508715038
Registry record updated Jan 27, 2026
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 Street-Victorville
Practice address
15490 Civic Dr Ste 105
Victorville, CA 92392-2382
Phone
(909) 963-5335
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
David Mark Tavlin
Title
Cpo
Phone
(310) 985-5250

Specialties & licenses 1

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

Addresses

Primary practice location

15490 Civic Dr Ste 105
Victorville, CA 92392-2382

Mailing address

15490 Civic Dr Ste 105
Victorville, CA 92392-2382
Phone (909) 963-5335

Other names 1

  • Step Up On Second Street-Victorville 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

15490 Civic Dr
Ste 105
Victorville, CA 92392
Phone (909) 963-5335

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1508715038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15490 CIVIC DR STE 105",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922382",
            "telephone_number": "909-963-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15490 CIVIC DR STE 105",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922382",
            "telephone_number": "909-963-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP ON SECOND STREET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "TAVLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CPO",
        "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 Street-Victorville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.