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

NPI Status: Active since May 22, 2023

Contact Information

40 PENNY LN STE 4
WATSONVILLE, CA
ZIP 95076
Phone: (831) 763-4444

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  • Organization
  • Clinic/Center
  • Occupational Medicine

About AGILE OCCUPATIONAL MEDICINE, PC

This page provides the complete NPI Profile along with additional information for Agile Occupational Medicine, Pc, a provider established in Watsonville, California operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1174215826 assigned on May 2023. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Peter Murray (Coo)

NPI
1174215826
Provider Name
AGILE OCCUPATIONAL MEDICINE, PC
Entity Type
Organization
Location Address
40 PENNY LN STE 4 WATSONVILLE, CA 95076
Location Phone
(831) 763-4444
Mailing Address
3200 BRISTOL ST STE 600 COSTA MESA, CA 92626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2023
Last Update Date
04-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PETER MURRAY

Authorized Official Title
COO
Authorized Official Phone
(571) 224-5886

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174215826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144411084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 1 + 1 + 0 + 8 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1174215826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C

Clinic/Center

(Multi-Specialty)

40 PENNY LN STE 4
WATSONVILLE, CA
ZIP 95076

(831) 768-0412

CARLOS FERNANDEZ PHYSICAL THERAPIST

Physical Therapist

40 PENNY LN STE 4
WATSONVILLE, CA
ZIP 95076

(831) 763-4444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174215826, enumerated as an "organization" on May 22, 2023.

The provider is located at 40 PENNY LN STE 4 WATSONVILLE, CA 95076 and the phone number is (831) 763-4444.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.