Coastal Mindscape Nursing Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COASTAL MINDSCAPE NURSING CORPORATION

Doing business as

Coastal Mindscape

Practice address

2615 Pacific Coast Hwy Ste 204
Hermosa Beach, CA 90254-2227

Phone

(424) 728-5564

Fax

(424) 377-6548

NPI assigned

Jan 18, 2024

Last updated

Aug 17, 2025By 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

Dyana Ko, NPNPI 1598210403

Title

President

Phone

(424) 728-5564

Specialties & licenses 5

Addresses

Other names 1

• Coastal Mindscape Doing business as

Locations

Practitioners 1

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.

• Dyana Ko, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hermosa Beach, CA
  • NPI 1598210403
  Authorized official Same address or phone

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755388800000",
    "number": "1346001104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 204",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542227",
            "telephone_number": "424-728-5564",
            "fax_number": "424-377-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 204",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542227",
            "telephone_number": "424-728-5564",
            "fax_number": "424-377-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MINDSCAPE NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "DYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-728-5564",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Mindscape",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Hermosa Beach
• Steven Clark
• Coachcare Mso LLC
• Coast Chiropractic Center
• Coastal Behavior Care, LLC
• Coastline Surgery Center of California PC
• Coastline Surgery Center of California PC
• Theodore V Cohen, LMFT
• Lucas Andrew Colella
• Tamar Colen, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; 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.