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NPI · 1225021777 · NPPES-sourced

Dr. Ethan Etnyre MD

ActiveFamily Medicine
NPI Number
1225021777
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(805) 994-2100
License CA · G073939
Last Updated
Enumerated
Primary practice addressCA · 93445-9016
2120 Cienaga StOceano, CA 93445-9016
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About this NPIWhat this record shows.

NPI 1225021777 is registered to Dr. Ethan Etnyre MD, a Family Medicine practising at 2120 Cienaga St in Oceano, California. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Ethan Etnyre MD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • CB207800CA· Issued by MEDICARE ID
  • 080142806· Issued by RAILROAD MEDICARE
  • 00G739390CA· Issued by BLUE SHIELD OF CALIFORNIA

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Ethan Etnyre MD accepts. To confirm in-network status with your specific health plan, contact Dr. Ethan Etnyre MD directly at (805) 994-2100.

Frequently asked

Yes. NPI 1225021777 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (805) 994-2100.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Ethan Etnyre MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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7 records · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in California.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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