JAY PENNOCK MEDICAL DIRECTOR PC
NPI 1821881830
Clinic/Center in Santa Cruz, CA

Q: What is Jay Pennock Medical Director PC's NPI number?

The NPI number for Jay Pennock Medical Director PC is 1821881830. It was assigned to this organization in the NPPES registry on May 23, 2025. The provider is doing business as Rejuvenate Vitamin Shot and IV Clinic.

Q: What is Jay Pennock Medical Director PC's specialty?

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

Active since May 23, 2025

901 SOQUEL AVE STE A, SANTA CRUZ, CA 95062(831) 345-0652 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jay Pennock Medical Director Pc NPPES

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

JAY PENNOCK MEDICAL DIRECTOR PC (NPI 1821881830), doing business as Rejuvenate Vitamin Shot And Iv Clinic, is a healthcare organization registered as a clinic/center in Santa Cruz, California and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Scotts Valley and lists Jay Pennock, Owner And President, as its authorized official.

NPPES Registry Identity

NPI1821881830

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameJAY PENNOCK MEDICAL DIRECTOR PC

Location Address901 SOQUEL AVE STE ASanta Cruz, CA 95062-2122

Mailing Address1840 41st Ave # 102-325Capitola, CA 95010-2513 · (831) 345-0652 · Fax (888) 258-3926

Phone(831) 345-0652

Organization SubpartNo

Authorized OfficialJay PennockOwner And President · (831) 345-0652

Enumeration DateMay 23, 2025

NPPES CertifiedMay 23, 2025

✔ NPI 1821881830 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).

901 SOQUEL AVE STE A, Santa Cruz, CA 95062

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Other Names 1

Doing Business AsRejuvenate Vitamin Shot And Iv Clinic

Secondary Practice Location 1

Location 1104 Whispering Pines Dr Ste 105AScotts Valley, CA 95066-4799 · Phone (831) 345-0652

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 Medical Director PC's NPI number?

The NPI number for Jay Pennock Medical Director PC is 1821881830. It was assigned to this organization in the NPPES registry on May 23, 2025. The provider is doing business as Rejuvenate Vitamin Shot and IV Clinic.

Where is Jay Pennock Medical Director PC located?

Jay Pennock Medical Director PC is located at 901 Soquel Ave Ste A, Santa Cruz, CA 95062. The listed phone number is (831) 345-0652.

What is Jay Pennock Medical Director PC'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 Medical Director PC was last updated on May 23, 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.