STEP UP ON SECOND ACT PROGRAM (NPI# 1235395096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235395096 |
| Entity Type | Organization |
| Organization Name | STEP UP ON SECOND ACT PROGRAM |
| Practice Address |
3435 Ocean Park Blvd Santa Monica CA 90405-3301 |
| Practice Telephone | 3103929474 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | MS. MICHELLE A. JENSEN (CLINICAL CASE MANGER) |
| Authorized Official Telephone | 7152126855 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
3435 OCEAN PARK BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285705384 | Lynn Kerew Chiropractic, A Professional Corporation | Chiropractor | 3435 Ocean Park Blvd, Suite 101, Santa Monica, CA 90405-3301 | 2006-11-11 |
| 1922612761 | Madelyn Ott | Student in an Organized Health Care Education/Training Program | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3301 | 2020-08-31 |
| 1720625684 | Katie D Mortimer | Social Worker | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3301 | 2019-12-10 |
| 1538635685 | Daniella Marcellus | Licensed Vocational Nurse | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3301 | 2018-10-16 |
| 1649647553 | Optimal Performance Physical Therapy, PC | Physical Therapist | 3435 Ocean Park Blvd, #101, Santa Monica, CA 90405-3301 | 2015-08-26 |
| 1861676637 | Nancy Martinez | Counselor | 3435 Ocean Park Blvd, #207, Santa Monica, CA 90405 | 2007-12-28 |
| 1639373608 | Matthew Wong | Physical Therapist | 3435 Ocean Park Blvd, #107, Santa Monica, CA 90405-3301 | 2007-06-13 |
| 1679693998 | Ana Sanchez | Counselor | 3435 Ocean Park Blvd, Suite 201, Santa Monica, CA 90405-3301 | 2007-03-30 |
| 1891825451 | Step Up On Second Street, Inc. | Community/Behavioral Health | 3435 Ocean Park Blvd, #207, Santa Monica, CA 90405-3301 | 2007-03-06 |
| 1477693356 | Lilly T Koeff | Dentist | 3435 Ocean Park Blvd, S 205, Santa Monica, CA 90405 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346590072 | Total Family Support Clinic | Case Management | 2019 Pico Blvd, Santa Monica, CA 90405-1731 | 2012-09-10 |
| 1669655809 | Rachel Kay Lang | Case Management | 1725 Main Street, Santa Monica, CA 90401 | 2007-12-11 |
| 1326377227 | St. Joseph Center | Case Management | 1848 Lincoln Blvd, Suite 100, Santa Monica, CA 90404-4580 | 2009-12-24 |
| 1003090184 | Gregory Lavel Darty | Case Management | 1725 Main Street, Santa Monica, CA 90401 | 2007-12-24 |
| 1386827368 | Denise J Johnson | Case Management | 1725 Main Street, Santa Monica, CA 90745 | 2007-12-12 |
| 1396928370 | Cheryl E Williamson | Case Management | 1725 Main St, Santa Monica, CA 90401 | 2007-12-12 |
| 1194908327 | Terri Lynne Bourgeois | Case Management | 1725 Main Street, Santa Monica, CA 90401 | 2007-12-11 |
| 1528241767 | Vilma Mansfield | Case Management | 1725 Main St, Santa Monica, CA 90401 | 2007-12-11 |
| 1427231661 | Letitia Gale Love | Case Management | 1725 Main Street, Santa Monica, CA 90401 | 2007-12-11 |
| 1215110457 | Jose Jesus Lopez | Case Management | 1725 Main Street, Santa Monica, CA 90401 | 2007-12-11 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.