ELMO PEDIATRICS & FAMILY WALK-IN CLINIC
NPI 1821763590
Clinic/Center in Shafter, CA
About Elmo Pediatrics & Family Walk-in Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELMO PEDIATRICS & FAMILY WALK-IN CLINIC (NPI 1821763590) is a healthcare organization registered as a clinic/center in Shafter, California and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 10, 2027, maintains a secondary practice location in Mcfarland, and lists Ayodeji Adetayo Ayeni, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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)
Elmo Pediatrics & Family Walk-in Clinic 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 Elmo Pediatrics & Family Walk-In Clinic, 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 05D2289448
Elmo Pediatrics & Family Walk-In Clinic · Mc Farland, 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 1821763590. It was assigned to this organization in the NPPES registry on August 13, 2021. The provider is doing business as Elmo Pediatrics & Family Walk-In Clinic.
Where is Shafter Pediatrics located?
Shafter Pediatrics is located at 501 Munzer St Suite C, Shafter, CA 93263. The listed phone number is (661) 630-5274.
What is Shafter Pediatrics's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
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 05D2289448) is associated with this NPI, valid through September 10, 2027. 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 December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elmo Pediatrics & Family Walk-In Clinic · NPI 1821763590
Clinic/Center organization in Shafter, California. Organization record, active in the CMS NPPES registry since August 13, 2021.
## Identity
- **NPI:** 1821763590 (Entity type: Organization)
- **Enumerated:** August 13, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Shafter Pediatrics
- **Organization subpart:** Yes (part of Shafter Pediatrics)
- **Authorized official:** Ayodeji Ayeni, MEDICAL DIRECTOR
## Practice location
- **Address:** 501 MUNZER ST, SUITE C, Shafter, CA 93263-2042
- **Phone:** (661) 630-5274 · **Fax:** (661) 630-5290
## 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:** December 29, 2023
- **Other identifiers:** Other 552863 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821763590) · Data from the CMS NPPES public registry.