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SHAFTER PEDIATRICS
NPI 1811362908
Pediatrics in Shafter, CA

Active since December 01, 2015CLIA 05D2118898 · Waiver
501 MUNZER ST, SUITE C, SHAFTER, CA 93263(661) 364-5244 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 20, 2021, Dec 1, 2015 (2 updates tracked since 2015).

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, 2026 and lists Ayodeji Adetayo Ayeni, Owner, as its authorized official.

NPPES Registry Identity

NPI1811362908
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHAFTER PEDIATRICS
Location Address501 MUNZER ST, SUITE CShafter, CA 93263
Mailing AddressPo Box 22694Bakersfield, CA 93390-2694 · (661) 364-5244
Phone(661) 364-5244
Organization SubpartNo
Authorized OfficialAyodeji Adetayo AyeniOwner · (661) 364-5244
Enumeration DateDecember 1, 2015
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1811362908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
501 MUNZER ST, Shafter, CA 93263
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, CA
Active · expires Sep 14, 2026
CLIA Number05D2118898
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorAyodeji A. Ayeni, MD
Laboratory Phone(661) 364-5244
Laboratory LocationShafter Pediatrics501 Munzer St Ste C, Shafter, CA 93263
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

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

SHAFTER PEDIATRICS
Clinic/Center
501 MUNZER ST, SUITE C
SHAFTER, CA 93263
Kern County (661) 630-5274

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 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.

Does Shafter Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2118898) is associated with this NPI, valid through September 14, 2026. 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.