Barstow Post Acute LLC – Skilled Nursing Facility

Key facts

NPI: 1841925344
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
Legal business name: BARSTOW POST ACUTE LLC
Practice address: 27555 Rimrock Rd
Barstow, CA 92311-4230
Phone: (760) 252-2515
NPI assigned: Jul 19, 2022
Organization subpart: No

Authorized official

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

Owners & managing parties with NPI records 1

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

Ravindra Moharpal Gautam, M.D. Internal Medicine Physician · Barstow, CA · NPI 1891791703

CMS ownership ADP OF THE SNF

Affiliated clinicians 4

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

Ravindra Moharpal Gautam, M.D. Internal Medicine Physician · Barstow, CA · NPI 1891791703

Care Compare affiliation Nursing home
Jimmy Tam Huy Tam Huy Pham, D.O. Nephrology Physician · Apple Valley, CA · NPI 1982087391

Care Compare affiliation Nursing home
Hari M. Reddy, M.D. Family Medicine Physician · Victorville, CA · NPI 1811232911

Care Compare affiliation Nursing home
Arvind Kumar Salwan, M.D. Internal Medicine Physician · Hesperia, CA · NPI 1437230190

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Mountain View Post Acute CCN 555162
Overall star rating: ★★★★★ 5 of 5
Health inspections: ★★★★★ 5 of 5
Staffing: ★★☆☆☆ 2 of 5
Quality measures: ★★★☆☆ 3 of 5
Type: Medicare and Medicaid
Ownership: For profit - Corporation
Certified: Nov 15, 1983
Medicare certification status: Active (Provider of Services file)
Certified beds: 59 · 54.5 residents per day on average
Chain: David Johnson (48 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
05D2298770	Mountain View Post Acute 27555 Rimrock Rd, Barstow, CA 92311	Certificate of waiver	Mar 5, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

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 · Proprietary
Enrollment address: 27555 Rimrock Rd
Barstow, CA 92311-4230
Nursing home name: MOUNTAIN VIEW POST ACUTE
Affiliated entity: DAVID JOHNSON

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 Organization · Brea, CA Created for acquisition, LLC	5% Or Greater Direct Ownership Interest	Aug 16, 2022	100%
Ravindra M Gautam Individual	Adp of the SNF	Jan 30, 2026
VBN New York LLC Organization · New York, NY LLC, Financial institution	5% Or Greater Security Interest	Aug 26, 2022
	Adp of the SNF	Aug 16, 2022
David a Johnson Individual	5% Or Greater Direct Ownership Interest Owner	Mar 22, 2021	50%
David a Johnson Individual	Adp of the SNF	Apr 1, 2022
Micheal D Oxford Individual	Operational/Managerial Control	Jan 3, 2022
Micheal D Oxford Individual	Adp of the SNF	Jan 3, 2022
Frank a Johnson Individual	5% Or Greater Direct Ownership Interest Owner	Aug 16, 2022	50%
Frank a Johnson Individual	Operational/Managerial Control	Apr 1, 2022
Barstow Property Holdings, LLC Organization · Skokie, IL LLC	Adp of the SNF	Aug 16, 2022
Pedro Lopez Individual	Operational/Managerial Control	Aug 15, 2022
Pedro Lopez Individual	Adp of the SNF	Aug 15, 2022
Joshua Kochek Individual	Operational/Managerial Control	Apr 1, 2022
Joshua Kochek Individual	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 Officer Cfo	Aug 16, 2022
Mary Farrales Individual	Corporate Officer Controller	Jan 1, 2023
Mary Farrales Individual	Adp of the SNF	Jan 1, 2023
Trevor Rhead Individual	Operational/Managerial Control	Jul 1, 2024
Trevor Rhead Individual	Adp of the SNF	Jul 1, 2024

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20230217000381	CA	Part a Provider - Skilled Nursing Facility	0244602357	Practice locations: Barstow, CA

National Provider Directory

Locations

27555 Rimrock Rd
Barstow, CA 92311
Phone (760) 252-2515

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X			Yes

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

Mountain View Post Acute Doing business as

Other providers in Barstow, CA

All providers in Barstow, CA · Skilled Nursing Facility in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.