AGILE OCCUPATIONAL MEDICINE, PC
NPI 1295619823
Clinic/Center - Occupational Medicine in West Sacramento, CA

Active since August 05, 2025CLIA 05D2342787 · Waiver
2455 JEFFERSON BLVD STE 100, WEST SACRAMENTO, CA 95691(916) 588-9080 Get Directions Write a Review

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

Record update history: May 5, 2026, Aug 5, 2025 (2 updates tracked since 2025).

About Agile Occupational Medicine, Pc NPPES

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

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1295619823) is a healthcare organization registered as an occupational medicine in West Sacramento, California and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1295619823
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address2455 JEFFERSON BLVD STE 100West Sacramento, CA 95691-5329
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateAugust 5, 2025
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1295619823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
2455 JEFFERSON BLVD STE 100, West Sacramento, CA 95691

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 05D2342787

Agile Occupational Medicine PC · West Sacramento, CA
Active · expires Apr 26, 2028
CLIA Number05D2342787
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorKayvon Yadidi
Laboratory Phone(916) 407-2390
Laboratory LocationAgile Occupational Medicine PC2455 Jefferson Blvd Ste 100, West Sacramento, CA 95691
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 2

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

Integrative Medicine
2455 JEFFERSON BLVD STE 100
WEST SACRAMENTO, CA 95691
Clinic/Center (Primary Care)
2455 JEFFERSON BLVD STE 100
WEST SACRAMENTO, CA 95691

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 1295619823. It was assigned to this organization in the NPPES registry on August 5, 2025.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 2455 Jefferson Blvd Ste 100, West Sacramento, CA 95691. The listed phone number is (916) 588-9080.

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 05D2342787) is associated with this NPI, valid through April 26, 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 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.