AGILE OCCUPATIONAL MEDICINE, PC
NPI 1073384624
Clinic/Center - Occupational Medicine in Mission Hills, CA

Active since January 12, 2024CLIA 05D2315285 · Waiver
10630 SEPULVEDA BLVD STE 100, MISSION HILLS, CA 91345(818) 933-4440(818) 361-5860 Get Directions Write a Review

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

Record update history: May 5, 2026, Apr 4, 2025 (2 updates tracked since 2025).

About Agile Occupational Medicine, Pc NPPES

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

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1073384624) is a healthcare organization registered as an occupational medicine in Mission Hills, California and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1073384624
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address10630 SEPULVEDA BLVD STE 100Mission Hills, CA 91345-1937
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Fax(818) 361-5860
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateJanuary 12, 2024
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1073384624 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
10630 SEPULVEDA BLVD STE 100, Mission Hills, CA 91345

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 05D2315285

Agile Occupational Medicine, PC · Mission Hills, CA
Active · expires Dec 9, 2026
CLIA Number05D2315285
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorMinh Nguyen
Laboratory Phone(949) 596-7145
Laboratory LocationAgile Occupational Medicine, PC10630 Sepulveda Blvd Ste 100, Mission Hills, CA 91345
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.

Clinic/Center (Multi-Specialty)
10630 SEPULVEDA BLVD STE 100
MISSION HILLS, CA 91345
Physician Assistant
10630 SEPULVEDA BLVD STE 100
MISSION HILLS, CA 91345
Clinic/Center (Urgent Care)
10630 SEPULVEDA BLVD STE 100
MISSION HILLS, CA 91345
Clinic/Center (Occupational Medicine)
10630 SEPULVEDA BLVD STE 100
MISSION HILLS, CA 91345

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 1073384624. It was assigned to this organization in the NPPES registry on January 12, 2024.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 10630 Sepulveda Blvd Ste 100, Mission Hills, CA 91345. The listed phone number is (818) 933-4440.

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 05D2315285) is associated with this NPI, valid through December 9, 2026. 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.