1. Home
  2. Directory
  3. California
  4. Victorville
  5. Chiropractor
  6. NPI Profile

ETHAN GABRIEL STINE DC
NPI 1922693753
Chiropractor in Victorville, CA

Active since March 03, 2021Accepts Medicare Assignment
17330 BEAR VALLEY RD STE 105, VICTORVILLE, CA 92395(760) 245-8182 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Gabriel Stine Dc NPPES

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

ETHAN GABRIEL STINE DC (NPI 1922693753) is an individual chiropractor in Victorville, California, licensed in California (DC34952) and active in the NPI registry since March 2021. He is a graduate of Los Angeles College Of Chiropractic (2020).

NPPES Registry Identity

NPI1922693753
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameETHAN GABRIEL STINECredential: DC
Location Address17330 BEAR VALLEY RD STE 105Victorville, CA 92395-7741
Mailing Address17330 Bear Valley Rd Ste 105Victorville, CA 92395-7741 · (760) 245-8182
Phone(760) 245-8182
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 2020
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1922693753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC34952
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
17330 BEAR VALLEY RD STE 105, Victorville, CA 92395
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Gabriel Stine Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244613669
PECOS Enrollment IDI20220916003211

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
158 services38 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
33 services19 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL C CRUZ DC
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
WESTSIDE PREMIER MED GRP
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
JARED RAMOS DC
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
DR. RYAN FALCIS DC
Chiropractor
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
DR. KEVIN THOMAS PERCUOCO DC
Chiropractor (Sports Physician)
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182

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 Ethan Stine's NPI number?

The NPI number for Ethan Stine is 1922693753. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Ethan Stine located?

Ethan Stine practices at 17330 Bear Valley Rd Ste 105, Victorville, CA 92395. The listed phone number is (760) 245-8182.

What is Ethan Stine's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ethan Stine enrolled in Medicare?

Yes. Ethan Stine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Stine accept?

Health plans from Providence Health Plan list Ethan Stine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Stine was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.