AGILE OCCUPATIONAL MEDICINE, PC
NPI 1699490581
Clinic/Center - Occupational Medicine in Redding, CA

Active since October 04, 2022CLIA 05D2296397 · Waiver
1710 CHURN CREEK RD, REDDING, CA 96002(530) 646-4242(530) 646-4243 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Oct 4, 2022 (2 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 1699490581) is a healthcare organization registered as an occupational medicine in Redding, California and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1699490581
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address1710 CHURN CREEK RDRedding, CA 96002-0236
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810
Fax(530) 646-4243
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateOctober 4, 2022
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1699490581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1710 CHURN CREEK RD, Redding, CA 96002

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 05D2296397

Agile Occupational Medicine · Redding, CA
Active · expires Dec 26, 2027
CLIA Number05D2296397
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorSteve Friend
Laboratory Phone(760) 828-5681
Laboratory LocationAgile Occupational Medicine1710 Chum Creek Road, Redding, CA 96002
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
1710 CHURN CREEK RD
REDDING, CA 96002
Physical Therapist (Orthopedic)
1710 CHURN CREEK RD
REDDING, CA 96002
Clinic/Center (Occupational Medicine)
1710 CHURN CREEK RD
REDDING, CA 96002
Physical Therapy Assistant
1710 CHURN CREEK RD
REDDING, CA 96002
General Practice
1710 CHURN CREEK RD
REDDING, CA 96002
Physical Therapy Assistant
1710 CHURN CREEK RD
REDDING, CA 96002

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 1699490581. 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 1710 Churn Creek Rd, Redding, CA 96002. The listed phone number is (530) 646-4242.

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 05D2296397) is associated with this NPI, valid through December 26, 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.