Teresa Cha Waggoner, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23178 Issued in CA

Practice address

23772 Newhall Avenue
Newhall, CA 91321

Phone

(661) 291-1777

Fax

(661) 255-1208

NPI assigned

Jun 4, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGFFAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newhall Health Center

  • Voluntary or Charitable Agency
  • Newhall, CA
  • NPI 1306139886
  NPD (past)
• Samuel Dixon Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Val Verde, CA
  • NPI 1154402675
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1437562741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 AVENUE STANFORD, SUITE A-104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-257-2339",
            "fax_number": "661-257-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23772 NEWHALL AVENUE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-291-1777",
            "fax_number": "661-255-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "TERESA",
        "middle_name": "CHA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Psychological Center Inc (Vista Center for Behavior Analysis)
• Vista Psychological Center, Inc (Vista Center for Behavior Analysis)
• Margaret Vitebsky
• Cody James Vlach
• Vons Companies Inc (Vons Pharmacy #2111)
• Liliet Wagner, PSY. D.
• Christine Marie Waldron
• Jasleen Walia
• Nykiah Suzanne Walker, FRANK ESPINOZA
• Stefany Watson, M.A., BCBA

• Family Nurse Practitioner in Newhall, CA
• Providers in Newhall, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.