AGILE OCCUPATIONAL MEDICINE, PC
NPI 1023991015
Clinic/Center - Occupational Medicine in National City, CA

Active since July 28, 2025CLIA 05D2343277 · Waiver
1510 SWEETWATER RD STE B, NATIONAL CITY, CA 91950(619) 768-2596 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Agile Occupational Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1023991015) is a healthcare organization registered as an occupational medicine in National City, California and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1023991015
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address1510 SWEETWATER RD STE BNational City, CA 91950-7643
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateJuly 28, 2025
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1023991015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
1510 SWEETWATER RD STE B, National City, CA 91950

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 05D2343277

Agile Occupational Medicine · National City, CA
Active · expires May 3, 2028
CLIA Number05D2343277
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorYadidi Kayvon
Laboratory Phone(619) 552-2870
Laboratory LocationAgile Occupational Medicine1510 Sweetwater Rd, Ste B, National City, CA 91950
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1510 SWEETWATER RD STE B
NATIONAL CITY, CA 91950
Physician Assistant
1510 SWEETWATER RD STE B
NATIONAL CITY, CA 91950
Nurse Practitioner (Family)
1510 SWEETWATER RD STE B
NATIONAL CITY, CA 91950
Physical Therapist
1510 SWEETWATER RD STE B
NATIONAL CITY, CA 91950

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 Agile Occupational Medicine, PC's NPI number?

The NPI number for Agile Occupational Medicine, PC is 1023991015. It was assigned to this organization in the NPPES registry on July 28, 2025.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 1510 Sweetwater Rd Ste B, National City, CA 91950. The listed phone number is (619) 768-2596.

What is Agile Occupational Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Agile Occupational Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2343277) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agile Occupational Medicine, PC was last updated on May 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.