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MRS. TESSA WAGGONER PT
NPI 1003033846
Specialist in Thousand Oaks, CA

Active since April 20, 2007
77 ROLLING OAKS DR STE 100, THOUSAND OAKS, CA 91361(805) 285-3562(805) 364-4947 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tessa Waggoner Pt NPPES

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

MRS. TESSA WAGGONER PT (NPI 1003033846) is an individual specialist in Thousand Oaks, California, licensed in California (24735) and active in the NPI registry since April 2007. She maintains a secondary practice location in Camarillo.

NPPES Registry Identity

NPI1003033846
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. TESSA WAGGONERCredential: PT
Location Address77 ROLLING OAKS DR STE 100Thousand Oaks, CA 91361-1017
Mailing Address659 Pedro StCamarillo, CA 93010-7739 · (805) 285-3562 · Fax (805) 364-4947
Phone(805) 285-3562
Fax(805) 364-4947
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1003033846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 24735
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
77 ROLLING OAKS DR STE 100, Thousand Oaks, CA 91361
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Secondary Practice Location 1

Location 1659 Pedro StCamarillo, CA 93010-7739 · Phone (805) 285-3562 · Fax (805) 364-4947

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%53 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Tessa Waggoner's NPI number?

The NPI number for Tessa Waggoner is 1003033846. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Tessa Waggoner located?

Tessa Waggoner practices at 77 Rolling Oaks Dr Ste 100, Thousand Oaks, CA 91361. The listed phone number is (805) 285-3562.

What is Tessa Waggoner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tessa Waggoner was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.