LEPORT (NPI# 1952787061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952787061 |
| Entity Type | Organization |
| Organization Name | LEPORT |
| Practice Address |
18111 Brookhurst St Suite 5600 Fountain Valley CA 92708-6728 |
| Practice Telephone | 7148614666 |
| Practice Fax Number | 7148614674 |
| Mailing Telephone | 7148614666 |
| Mailing Fax Number | 7148614674 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | ELLEN ROHAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 7148614666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 963173 | CA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G471930 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LEPORT BROOKLYN LLC | 18111 Brookhurst St., Suite 5600, Fountain Valley, Ca 92708 |
| Indiana Business Entities | LEPORT INDUSTRIES, INC. | 1895 Port City Boulevard, Muskegon, MI 49442 |
| Iowa Business Entities | LEPORTE ELECTRIC, INC. | 301 Maple St, Shenandoah, IA 52601 |
| Iowa Business Entities | LEPORTE STUDIO LLC | 2103 37th St, Des Moines, IA 50310 |
| Street Address |
18111 BROOKHURST ST SUITE 5600 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-6728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770370 | Tam Huu Le | Colon & Rectal Surgery | 18111 Brookhurst St, 2600, Fountain Valley, CA 92708-6728 | 2005-06-17 |
| 1578183885 | Bryant Tran | Respiratory Therapist, Registered | 18111 Brookhurst St, Fountain Valley, CA 92708-6728 | 2020-04-17 |
| 1992366439 | Heather Wright | Technician/Technologist | 18111 Brookhurst St, Fountain Valley, CA 92708-6728 | 2019-06-25 |
| 1083124549 | Timothy Franklin Horttor | Nurse Practitioner | 18111 Brookhurst St, Fountain Valley, CA 92708-6728 | 2017-10-10 |
| 1659720811 | Ignacio M. Carrillo-nunez, M.d., PC | Psychiatry & Neurology | 18111 Brookhurst St, Suite 6200, Fountain Valley, CA 92708-6728 | 2016-06-08 |
| 1770938292 | Jules Stein Eye Institute Medical Group | Durable Medical Equipment & Medical Supplies | 18111 Brookhurst St, Suite 6400, Fountain Valley, CA 92708-6728 | 2016-05-03 |
| 1821490970 | Benedict Yh Ching | Durable Medical Equipment & Medical Supplies | 18111 Brookhurst St, Suite 3400, Fountain Valley, CA 92708-6728 | 2014-09-19 |
| 1639509706 | Memorial Radiation Oncology Medical Group | Radiology | 18111 Brookhurst St, Suite Ll0300, Fountain Valley, CA 92708-6728 | 2013-11-26 |
| 1710311139 | Leport Education | Specialist | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 | 2013-08-22 |
| 1740622562 | Quy V. Le, Md Inc. | Surgery | 18111 Brookhurst St, 2600, Fountain Valley, CA 92708-6728 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870454 | Allyson Yoshinaga | Dietitian, Registered | 9432 Grackle Ave, Fountain Valley, CA 92708-6548 | 2020-08-05 |
| 1497121636 | Katherine Maryam Haghighi | Dietitian, Registered | 18111 Brookhurst St. Suite 5600, Fountain Valley, CA 92708 | 2015-08-11 |
| 1164466207 | Carol Ann Adams | Dietitian, Registered | 11250 Warner Ave, Fountain Valley, CA 92708-4116 | 2006-06-16 |
| 1932727245 | Jessica Wilson | Dietitian, Registered | 17360 Brookhurst St, Fountain Valley, CA 92708-3720 | 2020-07-13 |
| 1083022941 | Xuanmai Nguyen | Dietitian, Registered | 17360 Brookhurst St, Attn: Registered Dietitian Department, Fountain Valley, CA 92708-3720 | 2014-07-23 |
| 1841622214 | Sun Hui Kim | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-08-07 |
| 1114368727 | Susan Colette Mills | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-07-11 |
| 1427499284 | Christina Keimach | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-07-09 |
| 1952741142 | Shannon Roxanne Libbrecht | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-07-02 |
| 1346680840 | Takako Shiojima | Dietitian, Registered | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2013-06-28 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on LEPORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.