NPIMap

Organization Active NPI

Step Up on Second Street, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1669193413
Registry record updated Sep 20, 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 Street, Inc
Practice address
3745 Overland Ave
Los Angeles, CA 90034-6311
Phone
(310) 392-9474
NPI assigned
Sep 9, 2022
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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
(310) 392-5855

Specialties & licenses 1

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

Addresses

Primary practice location

3745 Overland Ave
Los Angeles, CA 90034-6311

Mailing address

3745 Overland Ave
Los Angeles, CA 90034-6311
Phone (310) 392-9474

Other names 1

  • STEP UP ON SECOND STREET, INC 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

3745 Overland Ave
Los Angeles, CA 90034
Phone (310) 392-5855

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1669193413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346311",
            "telephone_number": "310-392-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346311",
            "telephone_number": "310-392-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP ON SECOND STREET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "LIPKA",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-392-5855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEP UP ON SECOND STREET, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.