IndividualActive
Jay Pennock, MD
NPI 1437152907 · Integrative Medicine Physician · Capitola, CA
Provider details
- NPI number
- 1437152907
- Entity type
- Individual
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G77385 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1595 38th Ave
Capitola, CA 95010-2901
Phone: (831) 226-2108
Fax: (888) 258-3926
Approximate (ZIP-level) locationGet directions
Mailing address
1840 41st Ave # 102-325
Capitola, CA 95010-2513
Additional practice locations (3)
- 118 Crossroads BlvdCarmel, CA 93923-8644Phone: (831) 574-8511
- 10 W Alisal StSalinas, CA 93901-2736Phone: (831) 800-3663
- 901 Soquel AveSanta Cruz, CA 95062-2122Phone: (831) 425-4653
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.