AGILE OCCUPATIONAL MEDICINE, PC
NPI 1265314660
Clinic/Center - Occupational Medicine in Huntington Beach, CA

Active since July 24, 2025CLIA 05D2331722 · Waiver
17122 BEACH BLVD STE 104, HUNTINGTON BEACH, CA 92647(714) 964-4448 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Agile Occupational Medicine, Pc NPPES

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

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1265314660) is a healthcare organization registered as an occupational medicine in Huntington Beach, California and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1265314660
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address17122 BEACH BLVD STE 104Huntington Beach, CA 92647-5992
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateJuly 24, 2025
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1265314660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
17122 BEACH BLVD STE 104, Huntington Beach, CA 92647

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 05D2331722

Agile Occupational Medicine · Huntington Beach, CA
Active · expires Oct 6, 2027
CLIA Number05D2331722
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorKayvon Yadidi
Laboratory Phone(714) 694-4448
Laboratory LocationAgile Occupational Medicine17122 Beach Boulevard Ste 104, Huntington Beach, CA 92647
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
17122 BEACH BLVD STE 104
HUNTINGTON BEACH, CA 92647

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 1265314660. It was assigned to this organization in the NPPES registry on July 24, 2025.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 17122 Beach Blvd Ste 104, Huntington Beach, CA 92647. The listed phone number is (714) 964-4448.

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 05D2331722) is associated with this NPI, valid through October 6, 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.