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JUSTIN NOEL PEACOCK
NPI 1366193542
Rehabilitation Practitioner in Sacramento, CA

Active since January 10, 2022
1103 N B ST, SACRAMENTO, CA 95811(916) 378-8266 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Jan 10, 2022 (2 updates tracked since 2022).

About Justin Noel Peacock NPPES

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

JUSTIN NOEL PEACOCK (NPI 1366193542) is an individual rehabilitation practitioner in Sacramento, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1366193542
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJUSTIN NOEL PEACOCK
Location Address1103 N B STSacramento, CA 95811-0326
Mailing Address1103 N B StSacramento, CA 95811-0326 · (916) 378-8266
Phone(916) 378-8266
Sole ProprietorYes
Enumeration DateJanuary 10, 2022
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1366193542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1103 N B ST, Sacramento, CA 95811
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Other Providers at the Same Location NPPES 20

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

ASHRAF ALFAREH
Community Health Worker
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-8266
VICTORIA VILLALPANDO
Community Health Worker
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-8266
KENDALL PAIGE CECCHETTINI
Student in an Organized Health Care Education/Training Program
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-3812
JASON LARSON
Rehabilitation Counselor
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-8266
JANAUN JAHNE ROBINSON
Community Health Worker
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-8266
JOHN COREY RINGGOLD
Case Manager/Care Coordinator
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-8266
JUANA PAOLA MOSQUEDA
Adult Companion
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-8266
MISS JAMIE L LUCIA NP
Nurse Practitioner (Psychiatric/Mental Health)
1103 N B ST
SACRAMENTO, CA 95811
Sacramento County (916) 378-8266

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 Justin Peacock's NPI number?

The NPI number for Justin Peacock is 1366193542. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Justin Peacock located?

Justin Peacock practices at 1103 N B St, Sacramento, CA 95811. The listed phone number is (916) 378-8266.

What is Justin Peacock's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Justin Peacock was last updated on May 22, 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.