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

Active since July 07, 2025CLIA 05D2333377 · Waiver
301 S FAIR OAKS AVE STE 105, PASADENA, CA 91105(415) 780-1515 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayward Care Professional Corporation NPPES

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

WAYWARD CARE PROFESSIONAL CORPORATION (NPI 1053201475) is a healthcare organization registered as an adolescent medicine in Pasadena, California and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Scott Mosser, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053201475
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameWAYWARD CARE PROFESSIONAL CORPORATION
Location Address301 S FAIR OAKS AVE STE 105Pasadena, CA 91105-2536
Mailing Address301 S Fair Oaks Ave Ste 105Pasadena, CA 91105-2536 · (415) 780-1515
Phone(415) 780-1515
Organization SubpartNo
Authorized OfficialScott MosserMedical Director · (415) 780-1515
Enumeration DateJuly 7, 2025
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1053201475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
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.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
301 S FAIR OAKS AVE STE 105, Pasadena, CA 91105
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2333377

Wayward Care Professional Corporation · Pasadena, CA
Active · expires Nov 3, 2027
CLIA Number05D2333377
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorScott W. Mosser
Laboratory Phone(415) 780-1515
Laboratory LocationWayward Care Professional Corporation301 S Fair Oaks Avenue, Suite 105, Pasadena, CA 91105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ELLERBE PHYSICAL THERAPY SERVICES, INC.
Physical Therapist
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (626) 795-8023
JOHANNA OLSON-KENNEDY APMC
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (866) 846-5062
JOHANNA LYNN OLSON-KENNEDY MD
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (866) 846-5062
PHYSICAL THERAPY SERVICES MEDICAL GROUP, INC.
Physical Therapist
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (626) 795-8023
JONATHAN DANIEL WARUS MD
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Los Angeles County (866) 846-5062

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 Wayward Care Professional Corporation's NPI number?

The NPI number for Wayward Care Professional Corporation is 1053201475. It was assigned to this organization in the NPPES registry on July 7, 2025.

Where is Wayward Care Professional Corporation located?

Wayward Care Professional Corporation is located at 301 S Fair Oaks Ave Ste 105, Pasadena, CA 91105. The listed phone number is (415) 780-1515.

What is Wayward Care Professional Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Wayward Care Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2333377) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wayward Care Professional Corporation was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.