Prescott Lederer, PA
NPI 1417413048 · Physician Assistant · San Ysidro, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prescott Lederer, PA is a Physician Assistant provider in San Ysidro, CA (NPI 1417413048).
Provider details
- NPI number
- 1417413048
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 56373 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-02-19
- Last updated
- 2019-02-19
Frequently asked questions
- What is Prescott Lederer's NPI number?
- Prescott Lederer's National Provider Identifier (NPI) is 1417413048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prescott Lederer's specialty?
- Prescott Lederer is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prescott Lederer located?
- Prescott Lederer's practice location on file with NPPES is 720 E San Ysidro Blvd, San Ysidro, CA 92173-3101.
- What is Prescott Lederer's phone number?
- The practice phone number listed in the NPPES registry for Prescott Lederer is (619) 662-2286.
- Does Prescott Lederer accept Medicare?
- Prescott Lederer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prescott Lederer's NPI active?
- Yes — Prescott Lederer's NPI (1417413048) is active in the NPPES registry as of the last update on 2019-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.