Active NPI
Willard Frank Worthen II, M.D.
- Blood Banking & Transfusion Medicine Physician
- Inglewood, CA
National Provider Identifier
1235205253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- G27872
- Practice address
- 555 E Hardy St
Department of Pathology
Inglewood, CA 90301-4011 - Phone
- (310) 680-8391
- Fax
- (310) 412-4501
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G27872 | CA | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | G27872 | CA | Primary |
Addresses
Primary practice location
555 E Hardy St
Department of Pathology
Inglewood, CA 90301-4011
Mailing address
555 E Hardy St
Department of Pathology
Inglewood, CA 90301-4011
Phone (310) 680-8391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27872 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Pathology Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anatomic Pathology Physician
- Inglewood, CA
- NPI 1609953736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1235205253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E HARDY ST",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014011",
"telephone_number": "310-680-8391",
"fax_number": "310-412-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E HARDY ST",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014011",
"telephone_number": "310-680-8391",
"fax_number": "310-412-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHEN",
"first_name": "WILLARD",
"middle_name": "FRANK",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G27872",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "CA",
"license": "G27872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.