WAYWARD CARE PROFESSIONAL CORPORATION
NPI 1053201475
Pediatrics - Adolescent Medicine in Pasadena, CA

NPI Status: Active since July 07, 2025

Contact Information

301 S FAIR OAKS AVE STE 105
PASADENA, CA
ZIP 91105
Phone: (415) 780-1515

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  • Organization
  • Pediatrics
  • Adolescent Medicine

About WAYWARD CARE PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Wayward Care Professional Corporation, a pediatrician established in Pasadena, California operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1053201475 assigned on July 2025. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated August 2025. The authorized official of this NPI record is Dr. Scott Mosser Md (Medical Director)

NPI
1053201475
Provider Name
WAYWARD CARE PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
301 S FAIR OAKS AVE STE 105 PASADENA, CA 91105
Location Phone
(415) 780-1515
Mailing Address
301 S FAIR OAKS AVE STE 105 PASADENA, CA 91105
Mailing Phone
(415) 780-1515
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2025
Last Update Date
08-01-2025
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A pediatrician like Wayward Care Professional Corporation is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SCOTT MOSSER MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(415) 780-1515

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053201475
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103402414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 4 + 0 + 2 + 4 + 1 + 4 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1053201475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073600235SARA ELLERBE PHYSICAL THERAPY SERVICES, INC.
Organization
Physical Therapist301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
(626) 795-8023
1578608493PHYSICAL THERAPY SERVICES MEDICAL GROUP, INC.
Organization
Physical Therapist301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
(626) 795-8023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053201475, enumerated in the NPI registry as an "organization" on July 07, 2025

The provider is located at 301 S Fair Oaks Ave Ste 105 Pasadena, Ca 91105 and the phone number is (415) 780-1515

This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine

This NPI record was last updated on July 07, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.