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AGILE OCCUPATIONAL MEDICINE, PC
NPI 1518657956
Clinic/Center - Occupational Medicine in Stockton, CA

Active since May 09, 2023CLIA 05D2295151 · Waiver
420 W ACACIA ST, STOCKTON, CA 95203(209) 273-1627 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 5, 2026, Dec 23, 2024, May 9, 2023 (3 updates tracked since 2023).

About Agile Occupational Medicine, Pc NPPES

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

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1518657956) is a healthcare organization registered as an occupational medicine in Stockton, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1518657956
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address420 W ACACIA STStockton, CA 95203-2450
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Phone(209) 273-1627
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateMay 9, 2023
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1518657956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
420 W ACACIA ST, Stockton, CA 95203
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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 05D2295151

Agile Occupational Medicine PC · Stockton, CA
Active · expires Dec 5, 2027
CLIA Number05D2295151
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorKayvon Yadidi
Laboratory Phone(760) 828-5681
Laboratory LocationAgile Occupational Medicine PC420 W Acacia Street Ste 8, Stockton, CA 95203
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 12

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

BIG VALLEY OB-GYN MEDICAL CENTER,INC.
Obstetrics & Gynecology
420 W ACACIA ST, SUITE 11
STOCKTON, CA 95203
San Joaquin County (209) 948-4098
DAMERON HOSPITAL ASSOCIATION
Pharmacy (Community/Retail Pharmacy)
420 W ACACIA ST
STOCKTON, CA 95203
San Joaquin County (209) 466-2954
JOHN B OVERTON MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
420 W ACACIA ST, SUITE 17
STOCKTON, CA 95203
San Joaquin County (209) 851-3883
LAKSHMA R TIYYAGURA MD
Internal Medicine (Gastroenterology)
420 W ACACIA ST, # 18
STOCKTON, CA 95203
San Joaquin County (209) 466-4685
BHAGYA NAKKA, M.D., INC.
Obstetrics & Gynecology
420 W ACACIA ST, SUITE 22
STOCKTON, CA 95203
San Joaquin County (209) 518-6221
DIEGO F FERRO MD INC
Internal Medicine
420 W ACACIA ST, SUITE 1
STOCKTON, CA 95203
San Joaquin County (209) 948-1583
CHRISTOPHER MARK ARISMENDI MD
Surgery
420 W ACACIA ST
STOCKTON, CA 95203
San Joaquin County (209) 466-9694
DAMERON HOSPITAL HOME HEALTH
Home Health
420 W ACACIA ST
STOCKTON, CA 95203
San Joaquin County (209) 461-3193

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 1518657956. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 420 W Acacia St, Stockton, CA 95203. The listed phone number is (209) 273-1627.

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 05D2295151) is associated with this NPI, valid through December 5, 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 4 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.