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AGILE OCCUPATIONAL MEDICINE, PC
NPI 1558051995
Clinic/Center - Occupational Medicine in Los Banos, CA

Active since May 09, 2023CLIA 05D2299090 · Waiver
285 MERCEY SPRINGS RD STE A, LOS BANOS, CA 93635(209) 829-0444 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, Jan 2, 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 1558051995) is a healthcare organization registered as an occupational medicine in Los Banos, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1558051995
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address285 MERCEY SPRINGS RD STE ALos Banos, CA 93635-3878
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Phone(209) 829-0444
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 1558051995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
285 MERCEY SPRINGS RD STE A, Los Banos, CA 93635
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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 05D2299090

Agile Occupational Medicine · Los Banos, CA
Active · expires Feb 12, 2028
CLIA Number05D2299090
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorKayvon Yadidi
Laboratory Phone(209) 829-0444
Laboratory LocationAgile Occupational Medicine285 N Mercy Springs Road Suite A, Los Banos, CA 93635
CLIA data matches this NPI record on: 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 1558051995. 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 285 Mercey Springs Rd Ste A, Los Banos, CA 93635. The listed phone number is (209) 829-0444.

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 05D2299090) 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.