Individual provider Active NPI

Darryl Jonathan Werner, M.D.

  • General Practice Physician
  • Seal Beach, CA
National Provider Identifier
1518024108
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G066730 Issued in CA
Practice address
951 Heron Circle
Seal Beach, CA 90740
Phone
(949) 351-8977
Fax
(562) 430-6706
NPI assigned
Jan 2, 2007
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X G66730 CA
General Practice Physician 208D00000X G066730 CA Primary

Addresses

Primary practice location

951 Heron Circle
Seal Beach, CA 90740

Mailing address

951 Heron Circle
Seal Beach, CA 90740
Phone (949) 351-8977

Other identifiers 1

IdentifierTypeStateIssuer
000G66730MedicaidCA

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
I20100312000869 CA Practitioner - Emergency MedicinePractitioner - Undersea and Hyperbaric Medicine 4486566981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G066730CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baromedical Physician Associates Medical Group Undersea and Hyperbaric Medicine CurrentSince Jun 2, 2003 Accepting new patients
Renew Healthcare Systems, Inc. Undersea and Hyperbaric Medicine Past Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105

720 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 973-8777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1518024108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 HERON CIRCLE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740",
            "telephone_number": "949-351-8977",
            "fax_number": "562-430-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 HERON CIRCLE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740",
            "telephone_number": "949-351-8977",
            "fax_number": "562-430-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "DARRYL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "G66730",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G066730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G66730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.