NPIMap

Organization Active NPI

Step Up on Second Street, Inc.

Doing business as Step Up on Second Street-FCCS Plus

  • Community/Behavioral Health Agency
  • Santa Monica, CA
National Provider Identifier
1891825451
Registry record updated Oct 31, 2012
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-FCCS Plus
Practice address
3435 Ocean Park Blvd
#207
Santa Monica, CA 90405-3301
Phone
(310) 392-9474
Fax
(310) 392-7341
NPI assigned
Mar 6, 2007
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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) 394-6889

Specialties & licenses 1

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

Addresses

Primary practice location

3435 Ocean Park Blvd
#207
Santa Monica, CA 90405-3301

Mailing address

3435 Ocean Park Blvd
#207
Santa Monica, CA 90405-3301
Phone (310) 392-9474

Other names 1

  • Step Up on Second Street-FCCS Plus Doing business as

National Provider Directory

National Provider Directory

Locations

3435 Ocean Park Blvd
Ste 207
Santa Monica, CA 90405
Phone (310) 386-6782

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1891825451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 OCEAN PARK BLVD",
            "address_2": "#207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053301",
            "telephone_number": "310-392-9474",
            "fax_number": "310-392-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 OCEAN PARK BLVD",
            "address_2": "#207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053301",
            "telephone_number": "310-392-9474",
            "fax_number": "310-392-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP ON SECOND STREET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "LIPKA",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-394-6889",
        "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 Street-FCCS Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.