Organization Active NPI

Gary W Stablein MD Mba Inc

  • Adult Mental Health Clinic/Center
  • Chino, CA
National Provider Identifier
1689406092
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GARY W STABLEIN MD MBA INC
Practice address
11800 Central Ave Ste 121
Chino, CA 91710-7231
Phone
(949) 889-2971
NPI assigned
Aug 14, 2024
Organization subpart
No

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

Authorized official

Name
Dr. Gary Williams Stablein, MD, MBANPI 1477089068
Title
Psychiatrist
Phone
(949) 889-2971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 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

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250722002036 CA Part B Supplier - Clinic/Group Practice 2264948777 Receives reassigned benefits from 2 practitioners
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1689406092",
    "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"
        },
        {
            "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": {
        "organization_name": "GARY W STABLEIN MD MBA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "STABLEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "949-889-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.