NPIMap

Organization Active NPI

Peridot Health

Doing business as Peridot Health Medical Clinic

  • Primary Care Clinic/Center
  • McFarland, CA
National Provider Identifier
1962255661
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PERIDOT HEALTH
Doing business as
Peridot Health Medical Clinic
Practice address
221 Elmo Hwy Ste 300
MC Farland, CA 93250-9528
Phone
(661) 927-7020
Fax
(661) 927-7021
NPI assigned
Apr 10, 2024
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PERIDOT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Ololade Oluwatoyin OladimejiNPI 1295179141
Title
MD
Phone
(903) 944-9868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

221 Elmo Hwy Ste 300
MC Farland, CA 93250-9528

Mailing address

PO Box 21438
Bakersfield, CA 93390-1438

Other names 1

  • PERIDOT HEALTH MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240614000613 CA Part A Provider - Rural Health Clinic 0648713024 Practice locations: McFarland, CA
O20250210001207 CA Part B Supplier - Clinic/Group Practice 0648713024 Receives reassigned benefits from 4 practitioners
Practice locations: McFarland, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962255661. Details of each certification follow.

Rural health clinic certification: CCN 558917

Legal name
PERIDOT HEALTH
Doing business as
PERIDOT HEALTH MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 21, 2025
Last certification
Jan 21, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Enrollment address
221 Elmo Hwy
Ste 300
McFarland, CA 93250-9528

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2315355Peridot Health Medical Clinic221 Elmo Highway Suite 300, MC Farland, CA 93250Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory
Part of
Peridot Health

Locations

221 Elmo Hwy
Ste 300
Mc Farland, CA 93250
Phone (661) 927-7020

Ownership & related parties

All disclosed owners & managing parties 2

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 Contracted Managing EmployeeCredentialling Manager May 1, 2024
Ololade O Oladimeji Individual 5% Or Greater Direct Ownership Interest May 10, 2024 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1962255661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21438",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ELMO HWY STE 300",
            "city": "MC FARLAND",
            "state": "CA",
            "postal_code": "932509528",
            "telephone_number": "661-927-7020",
            "fax_number": "661-927-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIDOT HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERIDOT HEALTH",
        "enumeration_date": "2024-04-10",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "OLADIMEJI",
        "authorized_official_first_name": "OLOLADE",
        "authorized_official_middle_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "903-944-9868"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERIDOT HEALTH MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McFarland, CA

Sources for this page

Verify at the official NPI Registry.