1. Home
  2. Directory
  3. California
  4. Shafter
  5. Clinic Center
  6. NPI Profile

ELMO PEDIATRICS & FAMILY WALK-IN CLINIC
NPI 1821763590
Clinic/Center in Shafter, CA

Active since August 13, 2021CLIA 05D2289448 · Waiver
501 MUNZER ST, SUITE C, SHAFTER, CA 93263(661) 630-5274(661) 630-5290 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 13, 2023, Jul 14, 2022, Aug 13, 2021 (3 updates tracked since 2021).

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

NPI1821763590
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHAFTER PEDIATRICS
Location Address501 MUNZER ST, SUITE CShafter, CA 93263-2042
Mailing AddressP.o. Box 22694Bakersfield, CA 93390-2694 · (661) 630-5274
Phone(661) 630-5274
Fax(661) 630-5290
Organization SubpartYes
Authorized OfficialAyodeji Adetayo AyeniMedical Director · (661) 364-5244
Enumeration DateAugust 13, 2021
Last NPPES UpdateDecember 29, 20233 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
✔ NPI 1821763590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPediatricsTaxonomy 208000000X
501 MUNZER ST, Shafter, CA 93263
Open in Google Maps ↗

Other Names 1

Doing Business AsElmo Pediatrics & Family Walk-in Clinic

Secondary Practice Location 1

Location 1221 Elmo Hwy, Suite 100McFarland, CA 93250-9325 · Phone (661) 720-1883

Other Identifiers 1

Other552863CA · Medical Board Of California

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D2289448

Elmo Pediatrics & Family Walk-In Clinic · Mc Farland, CA
Active · expires Sep 10, 2027
CLIA Number05D2289448
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorAyodeji Ayeni
Laboratory Phone(661) 720-1883
Laboratory LocationElmo Pediatrics & Family Walk-In Clinic221 Elmo Hwy, Suite 100, Mc Farland, CA 93250
CLIA data matches this NPI record on: 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
Pediatrics
501 MUNZER ST, SUITE C
SHAFTER, CA 93263
Kern County (661) 364-5244

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 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.

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.