Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Noel Sartorius, PA-C

Individual provider Physician Assistant · NPI 1134558000

Jacquelyn Noel Sartorius, PA-C is a Physician Assistant in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2201 S Ave
South Lake Tahoe, CA 96150-7025
Phone: (530) 543-5623
Fax: (530) 541-5738
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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 PA52669 (CA)

Record details

NPI number1134558000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2013
Last updated in NPPESAugust 27, 2015

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