Jay Pennock, MD

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

G77385 Issued in CA

Practice address

1595 38TH Ave
Capitola, CA 95010-2901

Phone

(831) 226-2108

Fax

(888) 258-3926

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jay Pennock Medical Director PC

  dba Rejuvenate Vitamin Shot and IV Clinic

  • Clinic/Center
  • Santa Cruz, CA
  • NPI 1821881830
  NPD Authorized official
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  Single Specialty

  NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Paradise, CA
  • NPI 1225353600
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Salinas Valley Emergency Medical Group, Inc

  • Emergency Medicine Physician
  • Salinas, CA
  • NPI 1174552756

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1437152907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 41ST AVE # 102-325",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102513",
            "telephone_number": "831-345-0652",
            "fax_number": "888-258-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 38TH AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102901",
            "telephone_number": "831-226-2108",
            "fax_number": "888-258-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Soquel Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622122",
            "country_code": "US",
            "telephone_number": "831-425-4653 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 W Alisal St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012736",
            "country_code": "US",
            "telephone_number": "831-800-3663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Crossroads Blvd",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "CA",
            "postal_code": "939238644",
            "country_code": "US",
            "telephone_number": "831-574-8511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNOCK",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": "CA",
            "license": "G77385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy B Patel
• Purvi Patel, PHARMD
• Britta Suzanne Patterson
• Pearle Visioncare, Inc (Pearle Vision #C6011)
• Rebecca Pegoda-Hallock
• Jordan Perez
• Larisa Perez
• Michele Pettinger
• Matthew S Pilon, PT
• Sandra Polakoff, MA LMFT

• Integrative Medicine Physician in Capitola, CA
• Providers in Capitola, CA by specialty
• Integrative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.