Active NPI
Barstow Post Acute LLC
Doing business as Mountain View Post Acute
- Skilled Nursing Facility
- Barstow, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BARSTOW POST ACUTE LLC
- Doing business as
- Mountain View Post Acute
- Practice address
- 27555 Rimrock Rd
Barstow, CA 92311-4230 - Phone
- (760) 252-2515
- NPI assigned
- Jul 19, 2022
- Last updated
- Jul 19, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
27555 Rimrock Rd
Barstow, CA 92311-4230
Mailing address
27555 Rimrock Rd
Barstow, CA 92311-4230
Phone (760) 252-2515
Other names 1
- Mountain View Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230217000381 | CA | Part A Provider - Skilled Nursing Facility | 0244602357 | Practice locations: Barstow, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1841925344. Details of each certification follow.
Skilled nursing facility certification: CCN 555162
- Legal name
- BARSTOW POST ACUTE LLC
- Doing business as
- MOUNTAIN VIEW POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 15, 1983
- Last certification
- Jun 14, 2024
- Beds
- 59
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Enrollment address
- 27555 Rimrock Rd
Barstow, CA 92311-4230 - Nursing home name
- MOUNTAIN VIEW POST ACUTE
- Affiliated entity
- DAVID JOHNSON
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mountain View Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 15, 1983
- Medicare certification status
- Active
- Certified beds
- 59
- Chain
- David Johnson
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2298770 | Mountain View Post Acute | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Barstow Post Acute LLC | 5% Or Greater Direct Ownership Interest | Aug 16, 2022 | 100% |
| Ravindra M Gautam | Adp of the SNF | Jan 30, 2026 | |
| VBN New York LLC | 5% Or Greater Security Interest | Aug 26, 2022 | |
| Adp of the SNF | Aug 16, 2022 | ||
| David a Johnson | 5% Or Greater Direct Ownership Interest | Mar 22, 2021 | 50% |
| Adp of the SNF | Apr 1, 2022 | ||
| Micheal D Oxford | Operational/Managerial Control | Jan 3, 2022 | |
| Adp of the SNF | Jan 3, 2022 | ||
| Frank a Johnson | 5% Or Greater Direct Ownership Interest | Aug 16, 2022 | 50% |
| Operational/Managerial Control | Apr 1, 2022 | ||
| Barstow Property Holdings, LLC | Adp of the SNF | Aug 16, 2022 | |
| Pedro Lopez | Operational/Managerial Control | Aug 15, 2022 | |
| Adp of the SNF | Aug 15, 2022 | ||
| Joshua Kochek | Operational/Managerial Control | Apr 1, 2022 | |
| Adp of the SNF | Apr 1, 2022 | ||
| Sun Meridian Management Services LLC | Adp of the SNF | Mar 22, 2021 | |
| Adrian Dehghanmanesh | Corporate Officer | Aug 16, 2022 | |
| Mary Farrales | Corporate Officer | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Trevor Rhead | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Barstow, CA
- NPI 1891791703
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1841925344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27555 RIMROCK RD",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923114230",
"telephone_number": "760-252-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27555 RIMROCK RD",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923114230",
"telephone_number": "760-252-2515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARSTOW POST ACUTE 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": "Mountain View Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.