Individual provider Active NPI

Jacqueline Elise Limm, PA-C

  • Physician Assistant
  • Auburn, CA
National Provider Identifier
1407785769
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA68410 Issued in CA
Practice address
3280 Professional Dr
Auburn, CA 95602-2412
Phone
(530) 886-8630
NPI assigned
May 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA68410 CA Primary

Addresses

Primary practice location

3280 Professional Dr
Auburn, CA 95602-2412

Mailing address

3280 Professional Dr
Auburn, CA 95602-2412
Phone (530) 886-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2222 Francisco Dr
Suite 585
El Dorado Hills, CA 95762-3762

3280 Professional Dr
Auburn, CA 95602-2491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA68410CAMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1407785769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022412",
            "telephone_number": "530-886-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022412",
            "telephone_number": "530-886-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMM",
        "first_name": "JACQUELINE",
        "middle_name": "ELISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA68410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.