Organization Active NPI

Vista Skilled LLC

  • Skilled Nursing Facility
  • Vista, CA
National Provider Identifier
1730814237
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VISTA SKILLED LLC
Practice address
304 N Melrose Dr
Vista, CA 92083-4814
Phone
(760) 724-8222
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
David Johnson
Title
Ceo
Phone
(714) 577-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

304 N Melrose Dr
Vista, CA 92083-4814

Mailing address

304 N Melrose Dr
Vista, CA 92083-4814
Phone (760) 724-8222

Other names 1

  • Vista View Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213001318 CA Part A Provider - Skilled Nursing Facility 0042682437 Practice locations: Vista, CA

Skilled nursing facility certification: CCN 555246

Legal name
VISTA SKILLED LLC
Doing business as
VISTA VIEW POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 5, 1987
Last certification
May 1, 2025
Beds
176
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Aug 16, 2022
Organization structure
LLCProprietary
Enrollment address
304 N Melrose Dr
Vista, CA 92083-4814
Nursing home name
VISTA VIEW POST ACUTE
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vista View Post AcuteCCN 555246
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 5, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176145.8 residents per day on average
Chain
David Johnson48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0714096Vista View Post Acute304 N Melrose, Vista, CA 92083Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Vista Skilled LLC Organization, Brea, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Aug 16, 2022 100%
North Melrose Property Holdings, LLC Organization, Skokie, IL LLC Adp of the SNF Aug 16, 2022
VBN New York LLC Organization, New York, NY LLC, Financial institution Adp of the SNF Aug 16, 2022
David a Johnson Individual 5% Or Greater Direct Ownership InterestOwner Aug 16, 2022 50%
Managing Control - Governing BodyLLC Manager Apr 1, 2022
Adp of the SNF Apr 1, 2022
Micheal D Oxford Individual Corporate OfficerCoo Jan 3, 2022
Operational/Managerial Control Jan 3, 2022
Frank a Johnson Individual 5% Or Greater Direct Ownership InterestOwner Aug 16, 2022 50%
Operational/Managerial Control Apr 1, 2022
Managing Control - Governing BodyLLC Manager Mar 22, 2021
Karl E Steinberg Individual Adp of the SNF Jan 1, 2023
Joshua Kochek Individual Corporate OfficerPresident Apr 1, 2022
Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Sun Meridian Management Services LLC Organization, Brea, CA LLC Adp of the SNF Mar 22, 2021
Adrian Dehghanmanesh Individual Corporate OfficerCfo Aug 16, 2022
Mary Farrales Individual Corporate OfficerController Jan 1, 2023
Adp of the SNF Jan 1, 2023
Roger Hunte Individual Operational/Managerial Control Nov 13, 2023
Adp of the SNF Nov 13, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1730814237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920834814",
            "telephone_number": "760-724-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920834814",
            "telephone_number": "760-724-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SKILLED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista View Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.