Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Prescott Michelle Lederer, PA

Individual provider Physician Assistant · NPI 1417413048

Miss. Prescott Michelle Lederer, PA is a Physician Assistant in San Ysidro, California. Graduated from Loma Linda University School of Medicine in 2018, 8 years ago. Practices with Wound Care 360 Advanced Solutions Inc, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

720 E San Ysidro Blvd
San Ysidro, CA 92173-3101
Phone: (619) 662-2286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56373 (CA)

Record details

NPI number1417413048
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 19, 2019
Last updated in NPPESFebruary 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Wound Care 360 Advanced Solutions Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Wound Care 360 Advanced Solutions Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 12 clinicians in the practice; 10 are shown here.

Other providers in San Ysidro