NPIMap

Organization Active NPI

Shafter Urgent Care

  • Urgent Care Clinic/Center
  • Shafter, CA
National Provider Identifier
1376994533
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A68509 Issued in CA
Legal business name
SHAFTER URGENT CARE
Practice address
501 Munzer St Ste a
Shafter, CA 93263
Phone
(661) 429-2739
Fax
(661) 459-3535
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Novira Sunner
Title
Administrator
Phone
(661) 599-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A68509 CA Primary

Addresses

Primary practice location

501 Munzer St Ste a
Shafter, CA 93263

Mailing address

501 Munzer St Ste a
Shafter, CA 93263-2042
Phone (661) 429-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171010003689 CA Part B Supplier - Clinic/Group Practice 9133494578 Receives reassigned benefits from 6 practitioners
Practice locations: Shafter, CA
O20181214002063 CA Part A Provider - Rural Health Clinic 9133494578 Practice locations: Shafter, CA

Rural health clinic certification: CCN 558902

Legal name
SHAFTER URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 3, 2019
Last certification
Feb 10, 2026
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2016 in CA
Enrollment address
501 Munzer St
Ste a
Shafter, CA 93263-2052

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Novira P Sunner Individual Operational/Managerial ControlAdministrator Jan 1, 2016 20%
Chan Park Individual 5% Or Greater Direct Ownership InterestMedical Director Jan 1, 2016 50%
Corporate OfficerMedical Director Jan 1, 2016 50%
Corporate DirectorMedical Director Jan 1, 2016 50%
Ayodeji Adetayo Ayeni Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2016 50%
Corporate OfficerCeo Jan 1, 2016 50%
Corporate DirectorCeo Jan 1, 2016 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1376994533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MUNZER ST STE A",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632042",
            "telephone_number": "661-429-2739",
            "fax_number": "661-459-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MUNZER ST STE A",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "93263",
            "telephone_number": "661-429-2739",
            "fax_number": "661-459-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFTER URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "SUNNER",
        "authorized_official_first_name": "NOVIRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-599-5310"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A68509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shafter, CA

Sources for this page

Verify at the official NPI Registry.