SHAFTER PEDIATRICS
NPI 1811362908
Pediatrics in Shafter, CA
About Shafter Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAFTER PEDIATRICS (NPI 1811362908) is a healthcare organization registered as a pediatrics in Shafter, California and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through September 14, 2028 and lists Ayodeji Adetayo Ayeni, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shafter Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Shafter Pediatrics, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2118898
Shafter Pediatrics · Shafter, CAFrequently 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 Shafter Pediatrics's NPI number?
The NPI number for Shafter Pediatrics is 1811362908. It was assigned to this organization in the NPPES registry on December 1, 2015.
Where is Shafter Pediatrics located?
Shafter Pediatrics is located at 501 Munzer St Suite C, Shafter, CA 93263. The listed phone number is (661) 364-5244.
What is Shafter Pediatrics's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shafter Pediatrics enrolled in Medicare?
Yes. Shafter Pediatrics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shafter Pediatrics?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shafter Pediatrics, in Nurse Practitioner and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shafter Pediatrics hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2118898) is associated with this NPI, valid through September 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shafter Pediatrics was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Shafter Pediatrics · NPI 1811362908
Pediatrics organization in Shafter, California. Organization record, active in the CMS NPPES registry since December 1, 2015.
## Identity
- **NPI:** 1811362908 (Entity type: Organization)
- **Enumerated:** December 1, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Ayodeji Ayeni, OWNER
## Practice location
- **Address:** 501 MUNZER ST, SUITE C, Shafter, CA 93263
- **Phone:** (661) 364-5244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pediatric Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811362908) · Data from the CMS NPPES public registry.