NPIMap

Organization Active NPI

Agile Occupational Medicine, PC

  • Occupational Medicine Clinic/Center
  • King City, CA
National Provider Identifier
1740970979
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
1180 Broadway St
King City, CA 93930-3602
Phone
(831) 385-8000
NPI assigned
May 10, 2023
Last updated
May 5, 2026By the provider in NPPES
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 1

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

Addresses

Primary practice location

1180 Broadway St
King City, CA 93930-3602

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Agile Occupational Medicine PC49 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

Locations

1180 Broadway St
King City, CA 93930
Phone (831) 385-0922

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1740970979",
    "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": "1180 BROADWAY ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303602",
            "telephone_number": "831-385-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE OCCUPATIONAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "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": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.