Organization Active NPI

Barstow Post Acute LLC

Doing business as Mountain View Post Acute

  • Skilled Nursing Facility
  • Barstow, CA
National Provider Identifier
1841925344
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
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

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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 AcuteCCN 555162 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
5954.5 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
05D2298770Mountain View Post Acute27555 Rimrock Rd, Barstow, CA 92311Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
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 InterestOwner Mar 22, 2021 50%
Adp of the SNF Apr 1, 2022
Micheal D Oxford Individual Operational/Managerial Control Jan 3, 2022
Adp of the SNF Jan 3, 2022
Frank a Johnson Individual 5% Or Greater Direct Ownership InterestOwner Aug 16, 2022 50%
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
Adp of the SNF Aug 15, 2022
Joshua Kochek Individual 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
Trevor Rhead Individual 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.

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

Verify at the official NPI Registry.