MRS. TESSA WAGGONER PT
NPI 1003033846
Specialist in Thousand Oaks, CA
NPI Status: Active since April 20, 2007
Contact Information
77 ROLLING OAKS DR STE 100
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 285-3562
Fax: (805) 364-4947
- Individual
- Female
- Specialist
- Medicare Quality Reporting
About TESSA WAGGONER
This page provides the complete NPI Profile along with additional information for Tessa Waggoner, a provider established in Thousand Oaks, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1003033846 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 24735 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1003033846
- Provider Name
- MRS. TESSA WAGGONER PT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 77 ROLLING OAKS DR STE 100 THOUSAND OAKS, CA 91361
- Location Phone
- (805) 285-3562
- Location Fax
- (805) 364-4947
- Mailing Address
- 659 PEDRO ST CAMARILLO, CA 93010
- Mailing Phone
- (805) 285-3562
- Mailing Fax
- (805) 364-4947
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-20-2007
- Last Update Date
- 10-15-2025
- Code Navigator
Location Map
Secondary Locations
- 659 Pedro St
Camarillo, CA 93010
(805) 285-3562
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 24735
- License State
- CA
- Taxonomy Description
- 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 53 |
| 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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003033846, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003033846, enumerated as an "individual" on April 20, 2007.
The provider is located at 77 ROLLING OAKS DR STE 100 THOUSAND OAKS, CA 91361 and the phone number is (805) 285-3562.
Specialist with taxonomy code 174400000X.
