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
  • CLIA Number: 05D2333377
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-03-2027

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 one year ago. 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
Code Navigator

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2333377
Facility Type
Physician Office
Certificate Effective Date
November 04, 2025
Certificate Expiration Date
November 03, 2027
Laboratory Director
SCOTT W. MOSSER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wayward Care Professional Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1053201475, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 2 → 4 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 4 + 0 + 2 + 4 + 1 + 4 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053201475.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Physical Therapist
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105
Pediatrics (Adolescent Medicine)
301 S FAIR OAKS AVE STE 105
PASADENA, CA 91105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053201475, enumerated 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.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.