Step Up on Second Street, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STEP UP ON SECOND STREET, INC.

Practice address

6762 Lexington Ave
Ste a
Los Angeles, CA 90038-1217

Phone

(323) 380-7590

Fax

(323) 380-7591

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Tod Lipka

Title

President & Ceo

Phone

(310) 901-9142

Specialties & licenses 1

Addresses

Other names 1

• STEP UP HOLLYWOOD Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liliane Laurence Lebas, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1922178334
  NPD
• Timothy Jack, MD

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1891949723
  NPD

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1699079376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6762 LEXINGTON AVE",
            "address_2": "STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381217",
            "telephone_number": "323-380-7590",
            "fax_number": "323-380-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6762 LEXINGTON AVE",
            "address_2": "STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381217",
            "telephone_number": "323-380-7590",
            "fax_number": "323-380-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP ON SECOND STREET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "LIPKA",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "310-901-9142",
        "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 HOLLYWOOD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STEP UP HOLLYWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally Rose Stempler
• Matthew John Stenger
• Philip Kelly Stenquist, PH.D.
• Jake Gregory Stenzel, MD
• Step Up on Second Street, Inc.
• Helen Louise Stepan, CRNA
• Stepanek and Stepanek Dental Partnership
• Anais Stepanian, MD
• Hayk Stepanyan, M.D.
• Mary Stepanyan

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.