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PETER CARY LEPORT M.D.
NPI 1932163532
Specialist in Fountain Valley, CA

Active since April 12, 2006PECOS Enrolled
18111 BROOKHURST ST, SUITE 5600, FOUNTAIN VALLEY, CA 92708(714) 861-4666(714) 916-5534 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Cary Leport M.d. NPPES

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

PETER CARY LEPORT M.D. (NPI 1932163532) is an individual specialist in Fountain Valley, California, licensed in California (G47193) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932163532
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePETER CARY LEPORTCredential: M.D.
Location Address18111 BROOKHURST ST, SUITE 5600Fountain Valley, CA 92708-6728
Mailing Address18111 Brookhurst St, Suite 5600Fountain Valley, CA 92708-6728 · (714) 861-4666 · Fax (714) 916-5534
Phone(714) 861-4666
Fax(714) 916-5534
Sole ProprietorYes
Enumeration DateApril 12, 2006
Last NPPES UpdateMay 10, 2012
✔ NPI 1932163532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G47193
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
18111 BROOKHURST ST, Fountain Valley, CA 92708
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Other Identifiers 3

Medicaid00G471930CA
Medicare PINWG47193BCA
Medicare UPINB6512491CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Cary Leport M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peter Leport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Leport Surgical Medical Corporation
Same address
Specialist
18111 BROOKHURST ST, SUITE 5600
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1194940015 (714) 861-4666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

EUNJI ROH
Registered Nurse
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 378-7000
ORANGE COAST RADIATION ONCOLOGY MEDICAL GROUP
Radiology (Radiation Oncology)
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (562) 492-6695
NEURORESCUE, A PROFESSIONAL MEDICAL
Neurological Surgery
18111 BROOKHURST ST, 5800
FOUNTAIN VALLEY, CA 92708
Orange County (714) 443-0011
DR. TIMOTHY FRANKLIN HORTTOR NP
Nurse Practitioner (Acute Care)
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 378-7000
JULIE JOOHYUN OH MD
Internal Medicine
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 717-4415
TIFFANY CRYSTLE CARAGAN NURSE PRACTITIONER
Nurse Practitioner (Family)
18111 BROOKHURST ST, SUITE 6100
FOUNTAIN VALLEY, CA 92708
Orange County (714) 698-0300
ANDREA S NACCA PA
Physician Assistant
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (559) 624-6095
GABRIELA NAKANO
Nurse Practitioner (Acute Care)
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 378-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Leport's NPI number?

The NPI number for Peter Leport is 1932163532. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Peter Leport located?

Peter Leport practices at 18111 Brookhurst St Suite 5600, Fountain Valley, CA 92708. The listed phone number is (714) 861-4666.

What is Peter Leport's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter Leport enrolled in Medicare?

Yes. Peter Leport is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Leport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Leport reassigns Medicare benefits to Leport Surgical Medical Corporation (Fountain Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Leport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Leport was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.