NPIMap

Organization Active NPI

Agile Occupational Medicine, PC

  • Occupational Medicine Clinic/Center
  • Vista, CA
National Provider Identifier
1013890904
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
AGILE OCCUPATIONAL MEDICINE, PC
Practice address
2365 S Melrose Dr
Vista, CA 92081-8788
Phone
(760) 571-5910
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter Murray
Title
Secretary
Phone
(571) 224-5886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

2365 S Melrose Dr
Vista, CA 92081-8788

Mailing address

3200 Bristol St Ste 600
Costa Mesa, CA 92626-1810

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2331825Agile Occupational Medicine, PC2365 S Melrose Dr, Vista, CA 92081Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Agile Occupational Medicine49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1013890904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BRISTOL ST STE 600",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818788",
            "telephone_number": "760-571-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE OCCUPATIONAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "571-224-5886"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.