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VETERANS HOME OF CALIFORNIA BARSTOW
NPI 1205821758
Skilled Nursing Facility in Barstow, CA

Active since September 12, 2005CLIA 05D0916440 · Waiver
5/5
Overall Rating
100 VETERANS PKWY, BARSTOW, CA 92311(760) 252-6200(760) 252-6333 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Veterans Home Of California Barstow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VETERANS HOME OF CALIFORNIA BARSTOW (NPI 1205821758) is a healthcare organization registered as a skilled nursing facility in Barstow, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists James Sullivan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205821758
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVETERANS HOME OF CALIFORNIA BARSTOW
Location Address100 VETERANS PKWYBarstow, CA 92311-7003
Mailing Address100 Veterans PkwyBarstow, CA 92311-7003 · (760) 252-6200 · Fax (760) 252-6333
Phone(760) 252-6200
Fax(760) 252-6333
Organization SubpartNo
Authorized OfficialJames SullivanAdministrator · (760) 252-6250
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJuly 18, 2016
✔ NPI 1205821758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 170000835
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 170000835 (CA)
100 VETERANS PKWY, Barstow, CA 92311
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Other Identifiers 3

Medicare OSCAR/certification555853CA
Medicare PINZZZ15035ZCA
MedicaidLTC90083FCA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Veterans Home Of California Barstow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Veterans Home Of California Barstow, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Michelle Kooiman, NP-C
Nurse Practitioner
NPI 1437456019
100 VETERANS PKWY
Barstow, CA 92311
(760) 252-6304
✔ PECOS✔ Accepts MedicareSame address
Ravindra Gautam, M.D.
Internal Medicine
NPI 1891791703
930 W MAIN ST
Barstow, CA 92311
(760) 256-1004
✔ PECOS✔ Accepts Medicare2.1 mi
Venkataramana Devineni, MD
Internal Medicine
NPI 1588650675
17259 JASMINE ST SUITE B
Victorville, CA 92395
(760) 951-7778
✔ PECOS31 mi
Anupama Sharma, MD
Internal Medicine
NPI 1851387948
17259 JASMINE ST SUITE B
Victorville, CA 92395
(760) 241-4929
✔ PECOS✔ Accepts Medicare31 mi
Paul Fortaleza, D.O.
Family Practice
NPI 1336368190
6350 LAUREL CANYON BLVD STE 205
North Hollywood, CA 91606
(818) 325-2090
✔ PECOS✔ Accepts Medicare91 mi
Theodor Parada, M.D.
Internal Medicine
NPI 1568452704
1850 SULLIVAN AVE STE 310
Daly City, CA 94015
(650) 757-2121
✔ PECOS✔ Accepts Medicare361 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0916440

Veterans Home Of California - Barstow · Barstow, CA
Active · expires Jun 20, 2028
CLIA Number05D0916440
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorDr. Raundra M. Gautam
Laboratory Phone(760) 252-6285
Laboratory LocationVeterans Home Of California - Barstow100 E Veterans Parkway, Barstow, CA 92311
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Veterans Home Of California - Barstow (CMS certification number 555853), from CMS Care Compare.

Veterans Home Of California - Barstow

Nursing home · Barstow, CA
5/5 CMS Overall Rating
OwnershipGovernment - State
CMS Certification Number555853
Certified Beds60 beds55 residents per day on average
Medicare & Medicaid Participant SinceOctober 28, 2008
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
30.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.74 · LPN 0.79 · RN 1.35
4.88 hrs per resident per day
Weekend Nurse Staffing
4.51 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
14.8%
Registered Nurse Turnover
12.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Veterans Home Of California Barstow's NPI number?

The NPI number for Veterans Home Of California Barstow is 1205821758. It was assigned to this organization in the NPPES registry on September 12, 2005.

Where is Veterans Home Of California Barstow located?

Veterans Home Of California Barstow is located at 100 Veterans Pkwy, Barstow, CA 92311. The listed phone number is (760) 252-6200.

What is Veterans Home Of California Barstow's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Veterans Home Of California Barstow enrolled in Medicare?

Yes. Veterans Home Of California Barstow is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Veterans Home Of California Barstow?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Veterans Home Of California Barstow. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (4), Family Practice (1) and Nurse Practitioner (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Veterans Home Of California Barstow hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0916440) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Veterans Home Of California Barstow a Medicare-certified nursing home?

Yes. Veterans Home Of California - Barstow is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Veterans Home Of California Barstow have?

CMS rates Veterans Home Of California - Barstow 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Veterans Home Of California Barstow was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.