Active NPI
Jourdan Mackenzie Muro, PA-C
- Physician Assistant
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA67197
- Practice address
- 4460 Broad St Ste 110
San Luis Obispo, CA 93401-8065 - Phone
- (805) 597-6715
- Fax
- (805) 541-4973
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA67197 | CA | Primary |
Addresses
Primary practice location
4460 Broad St Ste 110
San Luis Obispo, CA 93401-8065
Mailing address
4460 Broad St Ste 110
San Luis Obispo, CA 93401-8065
Phone (805) 597-6715
Other practice location 1
2 James Way Ste 209
Pismo Beach, CA 93449-4976
Phone (805) 549-6915
Other practice location 2
2 James Way Ste 106
Pismo Beach, CA 93449-4974
Phone (805) 473-7665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4460 Broad St
Suite 110
San Luis Obispo, CA 93401-8065
Phone (805) 597-6715
Hospital & facility affiliations
- French Hospital Medical Center
- Marian Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67197 | CA | MD | Social Worker |
| PA67197 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429
2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163
2 James Way
Ste 106
Pismo Beach, CA 93449
Phone (805) 473-7665
2 James Way
Ste 209
Pismo Beach, CA 93449
Phone (805) 549-6915
4460 Broad St
Ste 110
San Luis Obispo, CA 93401
Phone (805) 597-6715
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1225307317
-
- Community Health Clinic/Center
- Arroyo Grande, CA
- NPI 1831764117
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1750151601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 BROAD ST STE 110",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934018065",
"telephone_number": "805-597-6715",
"fax_number": "805-541-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 BROAD ST STE 110",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934018065",
"telephone_number": "805-597-6715",
"fax_number": "805-541-4973"
}
],
"practiceLocations": [
{
"address_1": "2 James Way Ste 209",
"address_purpose": "LOCATION",
"city": "Pismo Beach",
"state": "CA",
"postal_code": "934494976",
"country_code": "US",
"telephone_number": "805-549-6915",
"fax_number": "805-549-6916",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 James Way Ste 106",
"address_purpose": "LOCATION",
"city": "Pismo Beach",
"state": "CA",
"postal_code": "934494974",
"country_code": "US",
"telephone_number": "805-473-7665",
"fax_number": "805-473-7666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURO",
"first_name": "JOURDAN",
"middle_name": "MACKENZIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA67197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.