Mindful Living Center California LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MINDFUL LIVING CENTER CALIFORNIA LLC

Practice address

8907 Warner Ave Ste 166
Huntington Beach, CA 92647-5081

Phone

(714) 805-8861

NPI assigned

Jan 28, 2021

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luke Tharasri

Title

Manager

Phone

(323) 447-9079

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• M. Mohsin Shah, M.D.

  • Neurological Surgery Physician
  • Bradenton, FL
  • NPI 1811970726

  CA

  Medicare reassignment
• Maipa Vang Tolonen, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
  • NPI 1841043395
  NPD
• Desiree Santos Wirth

  • Community Health Worker
  • Santa Rosa, CA
  • NPI 1053147389
  NPD (past)

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1275124737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PACIFIC COAST HWY APT 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484859",
            "telephone_number": "323-447-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 WARNER AVE STE 166",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475081",
            "telephone_number": "714-805-8861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 3rd St",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954016204",
            "country_code": "US",
            "telephone_number": "707-358-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL LIVING CENTER CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "THARASRI",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-447-9079"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Millwee-Welch, PHD
• Julia Milton
• Goli Minagar, LL.M.W
• Mary Lorene Minar, D.O.
• Mind Over Matters Practice Management Inc
• Mindful Living Center California Oc LLC
• Neil David Miranda, MED
• Denisse Mireles
• Dana Leigh Miscia
• Michele Missakian, PA-C

• Adolescent and Children Mental Health Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.