Mountain View Transitional LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

MOUNTAIN VIEW TRANSITIONAL LLC

Practice address

3623 Shandin Dr
San Bernardino, CA 92407-5837

Phone

(213) 709-5096

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Wayne A. Johnson Sr., MASTER OF SCIENCE

Title

Ceo / Owner

Phone

(213) 709-5096

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1922684588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 SHANDIN DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075837",
            "telephone_number": "213-709-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 SHANDIN DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075837",
            "telephone_number": "213-709-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW TRANSITIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "213-709-5096",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MASTER OF SCIENCE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Keisha Yvette Mosley
• Sakari Moss
• Bryan Mota
• Mariana Concepcion Moualem, FNP
• Mountain Right to Life
• Mountainside Operating Company, LLC
• Avronia Mourkus, DO
• George Mousa, MD
• Salah Mousa
• Noelle Mowles, MS

• Recovery Care Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.