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AGILE OCCUPATIONAL MEDICINE, PC
NPI 1144910589
Clinic/Center - Occupational Medicine in San Leandro, CA

Active since May 09, 2023CLIA 05D2294375 · Waiver
13847 E 14TH ST STE 107&109, SAN LEANDRO, CA 94578(510) 224-2515 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, May 9, 2023 (2 updates tracked since 2023).

About Agile Occupational Medicine, Pc NPPES

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

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1144910589) is a healthcare organization registered as an occupational medicine in San Leandro, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1144910589
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address13847 E 14TH ST STE 107&109San Leandro, CA 94578-2632
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Phone(510) 224-2515
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateMay 9, 2023
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1144910589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
13847 E 14TH ST STE 107&109, San Leandro, CA 94578
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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 05D2294375

Agile Occupational Medicine, PC · San Leandro, CA
Active · expires Nov 21, 2027
CLIA Number05D2294375
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorMinh Nguyen
Laboratory Phone(760) 828-5681
Laboratory LocationAgile Occupational Medicine, PC13847 E 14th Street Suite 107, San Leandro, CA 94578
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1144910589. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 13847 E 14th St Ste 107&109, San Leandro, CA 94578. The listed phone number is (510) 224-2515.

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 05D2294375) is associated with this NPI, valid through November 21, 2027. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.