MINDFUL LIVING CENTER CALIFORNIA LLC
NPI 1275124737
Clinic/Center - Adolescent and Children Mental Health in Huntington Beach, CA

Q: What is Mindful Living Center California LLC's NPI number?

The NPI number for Mindful Living Center California LLC is 1275124737. It was assigned to this organization in the NPPES registry on January 28, 2021.

Q: What is Mindful Living Center California LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since January 28, 2021

8907 WARNER AVE STE 166, HUNTINGTON BEACH, CA 92647(714) 805-8861 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 14, 2026, Jan 3, 2023, Jan 28, 2021 (3 updates tracked since 2021).

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About Mindful Living Center California Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL LIVING CENTER CALIFORNIA LLC (NPI 1275124737) is a healthcare organization registered as an adolescent and children mental health in Huntington Beach, California and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Santa Rosa and lists Luke Tharasri, Manager, as its authorized official.

NPPES Registry Identity

NPI1275124737

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameMINDFUL LIVING CENTER CALIFORNIA LLC

Location Address8907 WARNER AVE STE 166Huntington Beach, CA 92647-5081

Mailing Address900 Pacific Coast Hwy Apt 105Huntington Beach, CA 92648-4859 · (323) 447-9079

Phone(714) 805-8861

Organization SubpartNo

Authorized OfficialLuke TharasriManager · (323) 447-9079

Enumeration DateJanuary 28, 2021

Last NPPES UpdateApril 14, 20263 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1275124737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

8907 WARNER AVE STE 166, Huntington Beach, CA 92647

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Secondary Practice Location 1

Location 115 3rd StSanta Rosa, CA 95401-6204 · Phone (707) 358-2270

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Living Center California Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindful Living Center California LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mohsin Shah, M.D.

Neurosurgery

NPI 1811970726

200 3RD AVE W STE 200
Bradenton, FL 34205

(941) 794-3118

✔ PECOS✔ Accepts Medicare2,142 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Living Center California LLC's NPI number?

The NPI number for Mindful Living Center California LLC is 1275124737. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Mindful Living Center California LLC located?

Mindful Living Center California LLC is located at 8907 Warner Ave Ste 166, Huntington Beach, CA 92647. The listed phone number is (714) 805-8861.

What is Mindful Living Center California LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Mindful Living Center California LLC enrolled in Medicare?

Yes. Mindful Living Center California LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Living Center California LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Mindful Living Center California LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindful Living Center California LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.