Organization · Type 2 NPI

Jay Pennock Medical Director PC

Clinic/Center · Santa Cruz, CA

NPI number 1821881830 Active

Practice location

901 Soquel Ave Ste A
Santa Cruz, CA 95062-2122

Call (831) 345-0652 Map

Mailing address

1840 41st Ave # 102-325
Capitola, CA 95010-2513

Other practice locations

  • 104 Whispering Pines Dr Ste 105A, Scotts Valley, CA 95066-4799 · (831) 345-0652

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone 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).

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About NPI 1821881830

Jay Pennock Medical Director PC's National Provider Identifier is 1821881830, issued on May 23, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Santa Cruz, CA. The record was last updated on May 23, 2025.