1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Physician Assistant
  6. NPI Profile

JOURDAN MACKENZIE MURO PA-C
NPI 1750151601
Physician Assistant in San Luis Obispo, CA

Active since January 02, 2024PECOS EnrolledAccepts Medicare Assignment
4460 BROAD ST STE 110, SAN LUIS OBISPO, CA 93401(805) 597-6715(805) 541-4973 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Jan 2, 2024 (2 updates tracked since 2024).

About Jourdan Mackenzie Muro Pa-c NPPES

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

JOURDAN MACKENZIE MURO PA-C (NPI 1750151601) is an individual physician assistant in San Luis Obispo, California, licensed in California (PA67197) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2025).

NPPES Registry Identity

NPI1750151601
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOURDAN MACKENZIE MUROCredential: PA-C
Location Address4460 BROAD ST STE 110San Luis Obispo, CA 93401-8065
Mailing Address4460 Broad St Ste 110San Luis Obispo, CA 93401-8065 · (805) 597-6715 · Fax (805) 541-4973
Phone(805) 597-6715
Fax(805) 541-4973
Sole ProprietorYes
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2025
Enumeration DateJanuary 2, 2024
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1750151601 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 · PA67197
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.
4460 BROAD ST STE 110, San Luis Obispo, CA 93401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 James Way Ste 209Pismo Beach, CA 93449-4976 · Phone (805) 549-6915 · Fax (805) 549-6916
Location 22 James Way Ste 106Pismo Beach, CA 93449-4974 · Phone (805) 473-7665 · Fax (805) 473-7666

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jourdan Mackenzie Muro Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153816566
PECOS Enrollment IDI20251223002530
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLADYS DESCARGAR FIELD MSN, APRN, ACNP-BC
Nurse Practitioner
4460 BROAD ST STE 110
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 597-6715
PACIFIC CENTRAL COAST HEALTH CENTERS
Clinic/Center (Community Health)
4460 BROAD ST STE 110
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 597-6715
DR. SOWMYA OZA M.D.
Internal Medicine
4460 BROAD ST STE 110
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 597-6715

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 Jourdan Muro's NPI number?

The NPI number for Jourdan Muro is 1750151601. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Where is Jourdan Muro located?

Jourdan Muro practices at 4460 Broad St Ste 110, San Luis Obispo, CA 93401. The listed phone number is (805) 597-6715.

What is Jourdan Muro's specialty?

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

Is Jourdan Muro enrolled in Medicare?

Yes. Jourdan Muro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jourdan Muro was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.