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
- Organization
- Clinic/Center
- Occupational Medicine
- CLIA Number: 05D2301688
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-28-2028
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 May 2026. The authorized official of this NPI record is Peter Murray (Secretary)
- 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
- 05-05-2026
- Code Navigator
Location Map
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
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2301688
- Facility Type
- Physician Office
- Certificate Effective Date
- March 29, 2026
- Certificate Expiration Date
- March 28, 2028
- Laboratory Director
- KAYVON YADIDI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Agile Occupational Medicine, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174215826, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
WATSONVILLE, CA 95076
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.
