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AGILE OCCUPATIONAL MEDICINE, PC
NPI 1255056149
Clinic/Center - Occupational Medicine in Oakland, CA

Active since October 04, 2022CLIA 05D2299115 · Waiver
80 GRAND AVE STE 500, OAKLAND, CA 94612(510) 653-5200(510) 653-5210 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, Mar 28, 2025, Oct 4, 2022 (3 updates tracked since 2022).

About Agile Occupational Medicine, Pc NPPES

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

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1255056149) is a healthcare organization registered as an occupational medicine in Oakland, California and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1255056149
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address80 GRAND AVE STE 500Oakland, CA 94612-3756
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Phone(510) 653-5200
Fax(510) 653-5210
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateOctober 4, 2022
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1255056149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
80 GRAND AVE STE 500, Oakland, CA 94612
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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 05D2299115

Agile Occupational Medicine · Oakland, CA
Active · expires Feb 12, 2028
CLIA Number05D2299115
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorKayvon Yadidi
Laboratory Phone(510) 653-5200
Laboratory LocationAgile Occupational Medicine80 Grand Avenue Suite 500, Oakland, CA 94612
CLIA data matches this NPI record on: Address Name Phone
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 1255056149. It was assigned to this organization in the NPPES registry on October 4, 2022.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 80 Grand Ave Ste 500, Oakland, CA 94612. The listed phone number is (510) 653-5200.

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 05D2299115) is associated with this NPI, valid through February 12, 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.