Organization · Type 2 NPI
Jay Pennock, MD A Professional Corporation
Clinic/Center · Capitola, CA
NPI number
1114016789
Active
Practice location
1595 38th Ave
Capitola, CA 95010-2901
Mailing address
1840 41st Ave Ste 102-325
Capitola, CA 95010-2513
Other practice locations
- 901 Soquel Ave Ste A, Santa Cruz, CA 95062-2122 · (831) 345-0652
- 104 Whispering Pines Dr Ste 105A, Scotts Valley, CA 95066-4799 · (831) 345-0652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: 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).
3 other providers at this address
Other clinic/center providers in Capitola
About NPI 1114016789
Jay Pennock, MD A Professional Corporation's National Provider Identifier is 1114016789, issued on Oct 12, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Capitola, CA. The record was last updated on May 19, 2025.