Individual provider Active NPI

Gary Williams Stablein, M.D., M.B.A.

  • Psychiatry Physician
  • Chino, CA
National Provider Identifier
1477089068
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A171220 Issued in CA
Practice address
11800 Central Ave Ste 121
Chino, CA 91710-7231
Phone
(949) 889-2971
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A171220 CA Primary

Addresses

Primary practice location

11800 Central Ave Ste 121
Chino, CA 91710-7231

Mailing address

3151 Airway Ave Ste R
Costa Mesa, CA 92626-4627
Phone (949) 889-2971

Other practice location 1

3151 Airway Ave Ste R
Costa Mesa, CA 92626-4627
Phone (949) 889-2971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721002076 CA Practitioner - Psychiatry 4587170238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Irvine, California College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary W Stablein MD Mba IncGroup PAC ID 2264948777, 2 clinicians

Practice addresses (Care Compare)

3151 Airway Ave
Suite R
Costa Mesa, CA 92626-4627
Phone 9498892971101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171220CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary W Stablein MD Mba Inc CurrentSince Aug 14, 2024 Accepting new patients
Mark David Levine, MD Burlingame PC Psychiatry PastSince Jan 15, 2023 Accepting new patients

Locations

5353 G St
Chino, CA 91710
Phone (626) 335-1919

11800 Central Ave
Ste 121
Chino, CA 91710
Phone (626) 588-8644

3151 Airway Ave
Ste R
Costa Mesa, CA 92626
Phone (949) 288-5377

5904 Warner Ave
Unit 426
Huntington Beach, CA 92649
Phone (949) 889-2971

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1477089068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE R",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264627",
            "telephone_number": "949-889-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CENTRAL AVE STE 121",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107231",
            "telephone_number": "949-889-2971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3151 Airway Ave Ste R",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264627",
            "country_code": "US",
            "telephone_number": "949-889-2971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STABLEIN",
        "first_name": "GARY",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A171220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.