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MR. MARK RICHARD LEDERER PA
NPI 1285700781
Physician Assistant in American Canyon, CA

Active since November 27, 2006
309 KINGSLY LN, AMERICAN CANYON, CA 94503(707) 980-4227(866) 396-8755 Get Directions Write a Review

NPPES record last updated: April 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Richard Lederer Pa NPPES

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

MR. MARK RICHARD LEDERER PA (NPI 1285700781) is an individual physician assistant in American Canyon, California, licensed in California (PA12772) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1285700781
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARK RICHARD LEDERERCredential: PA
Location Address309 KINGSLY LNAmerican Canyon, CA 94503-4111
Mailing Address309 Kingsly LnAmerican Canyon, CA 94503-4111 · (707) 980-4227 · Fax (866) 396-8755
Phone(707) 980-4227
Fax(866) 396-8755
Sole ProprietorYes
Enumeration DateNovember 27, 2006
Last NPPES UpdateApril 10, 2009
✔ NPI 1285700781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA12772
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
309 KINGSLY LN, American Canyon, CA 94503
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Other Identifiers 1

Medicare ID-Type Unspecified289232455720CA · Physician Assistant

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 Mark Lederer's NPI number?

The NPI number for Mark Lederer is 1285700781. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Mark Lederer located?

Mark Lederer practices at 309 Kingsly Ln, American Canyon, CA 94503. The listed phone number is (707) 980-4227.

What is Mark Lederer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Lederer was last updated on April 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.