Darryl Alan Willoughby, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A54030 Issued in CA

Practice address

1513 S Grand Ave # 208
Los Angeles, CA 90015-3021

Phone

(213) 765-8088

Fax

(310) 329-3239

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

University of California, Geffen School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary Chen MD IncGroup PAC ID 1153347075, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149
• Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Gary Chen MD Inc

  • Orthopaedic Hand Surgery Physician
  • Los Angeles, CA
  • NPI 1891912432
  Medicare reassignment Care Compare group NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1780877613
  Medicare reassignment
• Darryl a Willoughby MD Inc

  • Specialist
  • Los Angeles, CA
  • NPI 1851559538
  NPD (past) Authorized official
• Darryl Willoughby M.D., Inc

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1770725145
  NPD (past) Authorized official
• A C Urgent Care Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1114457538

  Surgery

  NPD (past)
• California Orthopedic & Micro Surgery Institute Inc

  • Clinic/Center
  • Anaheim, CA
  • NPI 1639411762
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114081056
  Care Compare affiliation
• Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114367497
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1962585570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6620",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040620",
            "telephone_number": "310-968-6012",
            "fax_number": "310-329-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE # 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153021",
            "telephone_number": "213-765-8088",
            "fax_number": "310-329-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "DARRYL",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A54030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A540300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Gerald Willner, PH.D.
• Carol Siegal Willner, PHD
• Emily Liza Willner, MD
• Rebecca Willner, MSW
• Yvette Alicia Willock
• Denise Willoughby
• Megan Willoughby, MA CCC-SLP
• Leah Kathleen Willover, OTR/L
• Willow Women and Children'S Wellness, LLC
• Leslie Hope Wills, RD

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.