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AGILE OCCUPATIONAL MEDICINE, PC
NPI 1174215826
Clinic/Center - Occupational Medicine in Watsonville, CA

Active since May 22, 2023CLIA 05D2301688 · Waiver
40 PENNY LN STE 4, WATSONVILLE, CA 95076(831) 763-4444 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, May 22, 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 1174215826) is a healthcare organization registered as an occupational medicine in Watsonville, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1174215826
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address40 PENNY LN STE 4Watsonville, CA 95076-6008
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Phone(831) 763-4444
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateMay 22, 2023
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1174215826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
40 PENNY LN STE 4, Watsonville, CA 95076
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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 05D2301688

Agile Occupational Medicine, PC · Watsonville, CA
Active · expires Mar 28, 2028
CLIA Number05D2301688
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorKayvon Yadidi
Laboratory Phone(831) 763-4444
Laboratory LocationAgile Occupational Medicine, PC40 Penny Ln, Ste 4, Watsonville, CA 95076
CLIA data matches this NPI record on: Address Name Phone
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.

KEVIN ANDREW SLOWIK DPT, PT
Physical Therapist
40 PENNY LN STE 4
WATSONVILLE, CA 95076
Santa Cruz County (831) 763-4444
EARL FRIEND IV DPT
Physical Therapist
40 PENNY LN STE 4
WATSONVILLE, CA 95076
Santa Cruz County (831) 763-4444
PREMISE HEALTH OF CALIFORNIA MEDICAL PC
Clinic/Center (Multi-Specialty)
40 PENNY LN STE 4
WATSONVILLE, CA 95076
Santa Cruz County (831) 768-0412
CARLOS FERNANDEZ PHYSICAL THERAPIST
Physical Therapist
40 PENNY LN STE 4
WATSONVILLE, CA 95076
Santa Cruz County (831) 763-4444

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 1174215826. It was assigned to this organization in the NPPES registry on May 22, 2023.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 40 Penny Ln Ste 4, Watsonville, CA 95076. The listed phone number is (831) 763-4444.

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 05D2301688) is associated with this NPI, valid through March 28, 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.