Amy Marie Leiter, PA-C

Individual provider Active NPI Physician Assistant · Vandenberg Afb, CA

NPI 1104587567 · NPPES record last updated Jan 12, 2026

Key facts

NPI
1104587567
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
338 S Dakota Ave
Vandenberg Afb, CA 93437-6307
Phone
(301) 302-3861
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

338 S Dakota Ave
Vandenberg Afb, CA 93437-6307

Mailing address

224 Ash Ave
Nipomo, CA 93444-5027

Other names

  • Miss Amy Marie Whitcraft Former name

Other providers in Vandenberg Afb, CA

All providers in Vandenberg Afb, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.