Organization Active NPI

Mindscape Journeys Nursing Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermosa Beach, CA
National Provider Identifier
1821961020
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDSCAPE JOURNEYS NURSING CORPORATION
Practice address
2200 Pacific Coast Hwy Ste 103
Hermosa Beach, CA 90254-2700
Phone
(424) 728-5564
Fax
(424) 377-6548
NPI assigned
Sep 25, 2025
Organization subpart
Yes
Parent organization
COASTAL MINDSCAPE NURSING CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Dyana Ko, NP
Title
President
Phone
(424) 728-5564

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2200 Pacific Coast Hwy Ste 103
Hermosa Beach, CA 90254-2700

Mailing address

2200 Pacific Coast Hwy Ste 103
Hermosa Beach, CA 90254-2700
Phone (424) 728-5564

National Provider Directory

National Provider Directory
Part of
Coastal Mindscape Nursing Corporation

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1821961020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 103",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542700",
            "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": "2200 PACIFIC COAST HWY STE 103",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542700",
            "telephone_number": "424-728-5564",
            "fax_number": "424-377-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSCAPE JOURNEYS NURSING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL MINDSCAPE NURSING CORPORATION",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.