Ethan Etnyre, MD
NPI 1225021777 · Family Medicine Physician · Oceano, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Etnyre, MD is a Family Medicine Physician provider in Oceano, CA (NPI 1225021777).
Provider details
- NPI number
- 1225021777
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G073939 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-30
- Last updated
- 2017-11-07
Frequently asked questions
- What is Ethan Etnyre's NPI number?
- Ethan Etnyre's National Provider Identifier (NPI) is 1225021777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Etnyre's specialty?
- Ethan Etnyre is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Etnyre located?
- Ethan Etnyre's practice location on file with NPPES is 2120 Cienaga St, Oceano, CA 93445-9016.
- What is Ethan Etnyre's phone number?
- The practice phone number listed in the NPPES registry for Ethan Etnyre is (805) 994-2100.
- Does Ethan Etnyre accept Medicare?
- Ethan Etnyre is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Etnyre's NPI active?
- Yes — Ethan Etnyre's NPI (1225021777) is active in the NPPES registry as of the last update on 2017-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.