OrganizationActive
Jay Pennock, MD a Professional Corporation
NPI 1114016789 · Clinic/Center · Capitola, CA
Jay Pennock, MD a Professional Corporation is a Clinic/Center organization in Capitola, CA (NPI 1114016789).
Provider details
- NPI number
- 1114016789
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jay Pennock, Owner and President(831) 226-2108
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1595 38th Ave
Capitola, CA 95010-2901
Phone: (831) 226-2108
Street-level locationGet directions
Mailing address
1840 41st Ave Ste 102-325
Capitola, CA 95010-2513
Additional practice locations (2)
- 901 Soquel Ave Ste aSanta Cruz, CA 95062-2122Phone: (831) 345-0652
- 104 Whispering Pines Dr Ste 105aScotts Valley, CA 95066-4799Phone: (831) 345-0652
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Jay Pennock, MD a Professional Corporation's NPI number?
- Jay Pennock, MD a Professional Corporation's National Provider Identifier (NPI) is 1114016789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jay Pennock, MD a Professional Corporation?
- Jay Pennock, MD a Professional Corporation is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jay Pennock, MD a Professional Corporation located?
- Jay Pennock, MD a Professional Corporation's practice location on file with NPPES is 1595 38th Ave, Capitola, CA 95010-2901.
- What is Jay Pennock, MD a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jay Pennock, MD a Professional Corporation is (831) 226-2108.
- Who is the authorized official for Jay Pennock, MD a Professional Corporation?
- The authorized official listed on Jay Pennock, MD a Professional Corporation's NPPES record is Jay Pennock, Owner and President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jay Pennock, MD a Professional Corporation's NPI active?
- Yes — Jay Pennock, MD a Professional Corporation's NPI (1114016789) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.