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Organization Active NPI

Vista Behavioral Hospital LLC

  • Psychiatric Hospital
  • Riverside, CA
National Provider Identifier
1003243577
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
250000476 Issued in CA
Legal business name
VISTA BEHAVIORAL HOSPITAL LLC
Practice address
5900 Brockton Ave
Riverside, CA 92506-1862
Phone
(951) 275-8400
Fax
(951) 786-0293
NPI assigned
Sep 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Brian P. Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 250000476 CA Primary

Addresses

Primary practice location

5900 Brockton Ave
Riverside, CA 92506-1862

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other names 1

  • Pacific Grove Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141027002247 CA Part A Provider - Hospital 7315177920 Practice locations: Riverside, CA

Hospital certification: CCN 054130

Legal name
VISTA BEHAVIORAL HOSPITAL LLC
Doing business as
PACIFIC GROVE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 24, 1993
Last certification
Jun 4, 2021
Beds
68 (46 certified)
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2014 (3 total)
Organization structure
LLCProprietary
Enrollment address
5900 Brockton Ave
Riverside, CA 92506-1862
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Pacific Grove HospitalCCN 054130
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVP of Business Office Operations Jun 11, 2012
Vista Behavioral Holding Company, LLC Organization, Franklin, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 22, 2014 100%
Todd S Young Individual Corporate OfficerVice President & Treasurer Oct 27, 2025
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Dec 31, 2013 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 18, 2018
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Steven M. Hytry Individual W-2 Managing EmployeeFacility Ceo Sep 30, 2022
Debra K Osteen Individual Corporate OfficerPresident Jan 20, 2026

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1003243577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061862",
            "telephone_number": "951-275-8400",
            "fax_number": "951-786-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA BEHAVIORAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "250000476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Grove Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Grove Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.