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Jay Pennock, MD A Professional Corporation

Clinic/Center in Capitola, CA · enumerated 2006 · authorized official Jay Pennock, Owner and President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114016789

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Registry record

Entity type Organization (Type 2)
Legal business name Jay Pennock, MD A Professional Corporation
Practice address 1595 38th Ave, Capitola, CA, 95010
Phone (831) 226-2108
Enumeration date Oct 12, 2006
Last updated in NPPES May 19, 2025

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jay Pennock
Title Owner and President
Phone (831) 226-2108

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Jay Pennock, MD A Professional Corporation?
NPPES lists Jay Pennock (Owner and President) as the authorized official for this organization.
What is the NPI number for Jay Pennock, MD A Professional Corporation?
The NPI for Jay Pennock, MD A Professional Corporation is 1114016789, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-19.