Healthcare Provider Details

I. General information

NPI: 1740064351
Provider Name (Legal Business Name): JESUS GUILLERMO DURAN JR. MWS, ASW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 PAJARO ST STE B
SALINAS CA
93901-3400
US

IV. Provider business mailing address

339 PAJARO ST STE B
SALINAS CA
93901-3400
US

V. Phone/Fax

Practice location:
  • Phone: 831-800-7530
  • Fax: 831-920-6044
Mailing address:
  • Phone: 831-800-7530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number133890
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: