AGILE OCCUPATIONAL MEDICINE, PC
NPI 1992375133
Clinic/Center - Occupational Medicine in Gardena, CA

Active since June 29, 2021
15401 S MAIN ST, GARDENA, CA 90248(310) 403-1491 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2026, Jul 20, 2022, Nov 9, 2021 and 1 more (4 updates tracked since 2021).

About Agile Occupational Medicine, Pc NPPES

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

AGILE OCCUPATIONAL MEDICINE, PC (NPI 1992375133) is a healthcare organization registered as an occupational medicine in Gardena, California and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Wilmington and lists Peter Murray, Secretary, as its authorized official.

NPPES Registry Identity

NPI1992375133
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameAGILE OCCUPATIONAL MEDICINE, PC
Location Address15401 S MAIN STGardena, CA 90248-2214
Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810 · (844) 207-8321
Organization SubpartNo
Authorized OfficialPeter MurraySecretary · (571) 224-5886
Enumeration DateJune 29, 2021
Last NPPES UpdateMay 5, 20264 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1992375133 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 · Multi-SpecialtyTaxonomy 261QM1300X
15401 S MAIN ST, Gardena, CA 90248

Secondary Practice Location 1

Location 1445 E Anaheim StWilmington, CA 90744-4600 · Phone (562) 267-3798

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agile Occupational Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Agile Occupational Medicine, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Preventive Medicine
NPI 1336111251
15401 S MAIN ST
Gardena, CA 90248
(424) 292-3260
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1770694069
16055 VENTURA BLVD SUITE 100
Encino, CA 91436
(818) 386-1222
✔ PECOS✔ Accepts Medicare22 mi
Hand Surgery
NPI 1780646372
16055 VENTURA BLVD #120
Encino, CA 91436
(818) 386-5575
✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1992375133. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Agile Occupational Medicine, PC located?

Agile Occupational Medicine, PC is located at 15401 S Main St, Gardena, CA 90248. The listed phone number is (310) 403-1491.

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.

Is Agile Occupational Medicine, PC enrolled in Medicare?

Yes. Agile Occupational Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agile Occupational Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Agile Occupational Medicine, PC, in Hand Surgery, Plastic and Reconstructive Surgery and Preventive Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6 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.