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JAY PENNOCK, MD A PROFESSIONAL CORPORATION
NPI 1114016789
Clinic/Center in Capitola, CA

Active since October 12, 2006
1595 38TH AVE, CAPITOLA, CA 95010(831) 226-2108 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jay Pennock, Md A Professional Corporation NPPES

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

JAY PENNOCK, MD A PROFESSIONAL CORPORATION (NPI 1114016789) is a healthcare organization registered as a clinic/center in Capitola, California and active in the NPI registry since October 2006. The organization maintains 2 additional practice locations and lists Jay Pennock, Owner And President, as its authorized official.

NPPES Registry Identity

NPI1114016789
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJAY PENNOCK, MD A PROFESSIONAL CORPORATION
Location Address1595 38TH AVECapitola, CA 95010-2901
Mailing Address1840 41st Ave Ste 102-325Capitola, CA 95010-2513 · (831) 345-0652
Phone(831) 226-2108
Organization SubpartNo
Authorized OfficialJay PennockOwner And President · (831) 226-2108
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1114016789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1595 38TH AVE, Capitola, CA 95010
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Secondary Practice Locations 2

Location 1901 Soquel Ave Ste ASanta Cruz, CA 95062-2122 · Phone (831) 345-0652
Location 2104 Whispering Pines Dr Ste 105AScotts Valley, CA 95066-4799 · Phone (831) 345-0652

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.

JAY PENNOCK MD
Integrative Medicine
1595 38TH AVE
CAPITOLA, CA 95010
Santa Cruz County (831) 226-2108
DR. JULIA LOUISE ESTERLY DC
Chiropractor
1595 38TH AVE
CAPITOLA, CA 95010
Santa Cruz County (831) 227-3148
WHOLE MEDICINE LLC
Clinic/Center
1595 38TH AVE
CAPITOLA, CA 95010
Santa Cruz County (831) 621-1848

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 Jay Pennock, MD A Professional Corporation's NPI number?

The NPI number for Jay Pennock, MD A Professional Corporation is 1114016789. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Jay Pennock, MD A Professional Corporation located?

Jay Pennock, MD A Professional Corporation is located at 1595 38th Ave, Capitola, CA 95010. The listed phone number is (831) 226-2108.

What is Jay Pennock, MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jay Pennock, MD A Professional Corporation was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.