Active NPI
Darryl Jonathan Werner, M.D.
- General Practice Physician
- Seal Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G066730
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G66730 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G066730 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baromedical Physician Associates Medical Group | Undersea and Hyperbaric Medicine | Current | 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.
-
dba Orange County Wound and Hyperbaric
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Santa Ana, CA
- NPI 1164569463
-
dba South Coast Advanced Wound and Hyperbaric Centers
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Santa Ana, CA
- NPI 1851200406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.