Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COASTAL PSYCHIATRY CARE PROFESSIONAL NURSING CORP
NPI 1336062777
Nurse Practitioner - Psychiatric/Mental Health in Pismo Beach, CA

Q: What is Coastal Psychiatry Care Professional Nursing Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 03, 2026

128 LA COLIMA, PISMO BEACH, CA 93449(805) 608-5310 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 8, 2026, Aug 21, 2026, Aug 3, 2026 (3 updates tracked since 2026).

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About Coastal Psychiatry Care Professional Nursing Corp NPPES

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

COASTAL PSYCHIATRY CARE PROFESSIONAL NURSING CORP (NPI 1336062777) is a healthcare organization registered as a psychiatric/mental health in Pismo Beach, California and active in the NPI registry since August 2026. The organization lists Anna Hadilaksono, Owner, as its authorized official.

NPPES Registry Identity

NPI1336062777

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCOASTAL PSYCHIATRY CARE PROFESSIONAL NURSING CORP

Location Address128 LA COLIMAPismo Beach, CA 93449

Mailing Address567 Five Cities Dr Ste 418Pismo Beach, CA 93449-3005 · (805) 608-5310 · Fax (805) 254-0128

Phone(805) 608-5310

Organization SubpartNo

Authorized OfficialAnna HadilaksonoOwner · (805) 608-5310

Enumeration DateAugust 3, 2026

Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1336062777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

128 LA COLIMA, Pismo Beach, CA 93449

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA JADWIGA HADILAKSONO NP

Nurse Practitioner (Psychiatric/Mental Health)

128 LA COLIMA
PISMO BEACH, CA 93449

San Luis Obispo County (805) 608-5310

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 Coastal Psychiatry Care Professional Nursing Corp's NPI number?

The NPI number for Coastal Psychiatry Care Professional Nursing Corp is 1336062777. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Coastal Psychiatry Care Professional Nursing Corp located?

Coastal Psychiatry Care Professional Nursing Corp is located at 128 La Colima, Pismo Beach, CA 93449. The listed phone number is (805) 608-5310.

What is Coastal Psychiatry Care Professional Nursing Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Coastal Psychiatry Care Professional Nursing Corp was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.