Organization Active NPI

Wayward Care Professional Corporation

  • Pediatric Adolescent Medicine Physician
  • Pasadena, CA
National Provider Identifier
1053201475
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
WAYWARD CARE PROFESSIONAL CORPORATION
Practice address
301 S Fair Oaks Ave Ste 105
Pasadena, CA 91105-2536
Phone
(415) 780-1515
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott Mosser, MD
Title
Medical Director
Phone
(415) 780-1515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X Primary
Plastic and Reconstructive Surgery Physician 2086S0122X

Addresses

Primary practice location

301 S Fair Oaks Ave Ste 105
Pasadena, CA 91105-2536

Mailing address

301 S Fair Oaks Ave Ste 105
Pasadena, CA 91105-2536
Phone (415) 780-1515

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2333377Wayward Care Professional Corporation301 S Fair Oaks Avenue, Suite 105, Pasadena, CA 91105Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1053201475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 105",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052536",
            "telephone_number": "415-780-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 105",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052536",
            "telephone_number": "415-780-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYWARD CARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MOSSER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-780-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.