LEAH M VERGARA PA-C
NPI 1053720359
Physician Assistant - Surgical in Fountain Valley, CA

Q: What is Leah Vergara's NPI number?

The NPI number for Leah Vergara is 1053720359. It was assigned to this individual provider in the NPPES registry on August 12, 2014. The provider is also known as Leah M Hanson Pa-C.

Q: What is Leah Vergara's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Leah Vergara was last updated on September 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2014

11160 WARNER AVE STE 311, FOUNTAIN VALLEY, CA 92708(714) 850-7300(714) 850-7310 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Leah M Vergara Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH M VERGARA PA-C (NPI 1053720359) is an individual surgical provider in Fountain Valley, California, licensed in California (51680) and active in the NPI registry since August 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053720359

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLEAH M VERGARACredential: PA-C

Location Address11160 WARNER AVE STE 311Fountain Valley, CA 92708-4055

Mailing AddressPo Box 15848Newport Beach, CA 92659-5848 · (657) 241-3600 · Fax (657) 241-7708

Phone(714) 850-7300

Fax(714) 850-7310

Sole ProprietorNo

Enumeration DateAugust 12, 2014

Last NPPES UpdateSeptember 10, 2019

✔ NPI 1053720359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 51680

Also ListedPhysician AssistantTaxonomy 363A00000X · License 51680 (CA)

11160 WARNER AVE STE 311, Fountain Valley, CA 92708

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Other Names 1

Former Name (1)Leah M Hanson Pa-c

Secondary Practice Locations 2

Location 13828 Schaufele Ave Ste 320Long Beach, CA 90808-1793 · Phone (562) 348-4588 · Fax (562) 420-2545

Location 25750 Downey Ave Ste 308Lakewood, CA 90712-1482 · Phone (562) 633-3787 · Fax (562) 633-1977

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN BATCHELOR

Social Worker (Clinical)