Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902887706 Individual Practitioner Male Practitioner

Dr. Ayotunde Kofoworola Ayodele , MD

Pediatrics • Ceres, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ayotunde Ayodele, MD is a certified Pediatrics practicing in Ceres, CA. With approximately 45 years of clinical experience since graduating from Howard University College Of Medicine in 1981, Dr. Ayodele delivers high-quality medical care to the local community at 1920 MEMORIAL DR.

Dr. Ayodele accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1920 Memorial Dr

Ceres, CA 953071827

Telephone 2093837441
Associated Practice Facility / Clinic
🏢 Stanislaus County Bhrs Facility NPI 1649303546

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ceres, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
45 Yrs Matches City Avg
City Avg: 45.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Ceres, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ayodele (45 Years) 45 Yrs
Ceres Specialty Average (45.0 Years) 45.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA 199147

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License SC SC 21581

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SC 21581

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
GP2934 (SC)

Secondary Practice Locations

2525 Kinard St

Newberry, SC 291082909

Phone: 8034050220

430 S Herlong Ave, Suite 104

Rock Hill, SC 297329446

Phone: 8039806610

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Cesar Garcia , LCSW

Social Worker - Clinical

NPI 1033192596

Licensed Clinical Social Worker

RECOVERYSERVICESSP

Diane Renteria , PA-C

Physician Assistant

NPI 1093029001

Physician Assistant (Certified)

Miriam Arana , PA

Physician Assistant - Medical

NPI 1144460130

Physician Assistant

Stephanie Capell

Behavior Technician

NPI 1215439864
Mayla Carlos , PA-C

Physician Assistant - Medical

NPI 1235417171

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 14, 2025

Registered at 1920 MEMORIAL DR, CERES, CA 953071827 (Tel: 2093837441)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2025

Pediatrics (License #199147 in CA)

📍
Updated Practice Location April 02, 2025

Registered at 2525 KINARD ST, NEWBERRY, SC 291082909 (Tel: 8034050220)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 430 S HERLONG AVE, SUITE 104, ROCK HILL, SC 297329446 (Tel: 8039806610)

📍
Updated Business Mailing Address July 08, 2007

Registered at 430 S HERLONG AVE, SUITE 104, ROCK HILL, SC 297329446 (Tel: 8039806610)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as AYOTUNDE AYODELE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #SC 21581 in SC)

🟢
Initial NPI Registration & Enumeration November 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902887706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2005
Last Update: July 14, 2025
Sole Proprietor: No

Mailing Address

430 S Herlong Ave, Suite 104

Rock Hill, SC 297329446

Phone: 8039806610

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.