Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse Duro, PA-C

Individual provider Physician Assistant · NPI 1417720376

Jesse Duro, PA-C is a Physician Assistant in San Pedro, California. Qualified in 2023, 3 years ago. Practices with Vituity Physician Services PC, a 57-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

593 W 6th St
San Pedro, CA 90731-2521
Phone: (310) 547-0202
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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 PA63669 (CA)

Record details

NPI number1417720376
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2023
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address593 W 6th St, San Pedro, CA 90731-2521

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vituity Physician Services Pc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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