DARRYL ALAN WILLOUGHBY MD
NPI 1962585570
Surgery in Los Angeles, CA

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
1513 S GRAND AVE # 208, LOS ANGELES, CA 90015(213) 765-8088(310) 329-3239 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Darryl Alan Willoughby Md NPPES

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

DARRYL ALAN WILLOUGHBY MD (NPI 1962585570) is an individual surgery provider in Los Angeles, California, licensed in California (A54030) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1993).

NPPES Registry Identity

NPI1962585570
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDARRYL ALAN WILLOUGHBYCredential: MD
Location Address1513 S GRAND AVE # 208Los Angeles, CA 90015-3021
Mailing AddressPo Box 6620Torrance, CA 90504-0620 · (310) 968-6012 · Fax (310) 329-3239
Fax(310) 329-3239
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1993
Enumeration DateOctober 24, 2006
Last NPPES UpdateJune 1, 2010
NPI 1962585570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A54030
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1513 S GRAND AVE # 208, Los Angeles, CA 90015

Other Identifiers 4

Medicare UPINH07181
Medicaid00A540300CA
Medicare PINA54030ACA
Medicare PINA54030CA

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

Darryl Alan Willoughby Md 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 ID244227494
PECOS Enrollment IDI20040428001558
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Darryl Willoughby's NPI number?

The NPI number for Darryl Willoughby is 1962585570. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Darryl Willoughby located?

Darryl Willoughby practices at 1513 S Grand Ave # 208, Los Angeles, CA 90015. The listed phone number is (213) 765-8088.

What is Darryl Willoughby's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Darryl Willoughby enrolled in Medicare?

Yes. Darryl Willoughby 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.

When was this NPI record last updated?

The NPPES record for Darryl Willoughby was last updated on June 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.