Leport

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

963173 Issued in CA

Legal business name

LEPORT

Practice address

18111 Brookhurst St
Suite 5600
Fountain Valley, CA 92708-6728

Phone

(714) 861-4666

Fax

(714) 861-4674

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Ellen Rohan

Title

Practice Manager

Phone

(714) 861-4666

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Cary Leport, M.D.

  • Specialist
  • Fountain Valley, CA
  • NPI 1932163532
  NPD (past)

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1952787061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "SUITE 5600",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-861-4666",
            "fax_number": "714-861-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "SUITE 5600",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-861-4666",
            "fax_number": "714-861-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "ROHAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "714-861-4666"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "963173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G471930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon So Min Lee
• Adriana Marie Lemelin
• Diane Lemont, PH.D.
• Amanda Leon, BCABA
• Monica Del Pilar Leon
• Leport Education
• Leport Surgical Medical Corporation
• Peter Cary Leport, M.D.
• Steven Lerner, PA
• Barbara M. Lever, MD

• Registered Dietitian in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.