Jacky Peng

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306189 Issued in CA

Practice address

101 Sand Creek Rd Ste a
Brentwood, CA 94513-2539

Phone

(925) 939-8585

NPI assigned

Jul 16, 2024

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacky.peng.p1@direct.muirortho.nextgenshare.com

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.

• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Walnut Creek, CA
  • NPI 1972552990

  CA

  Medicare reassignment Care Compare group NPD
• California Sports Physical Therapy Centers, Inc.

  • Physical Therapist
  • Monterey, CA
  • NPI 1467436329

  CA, Physical Therapist

  Medicare reassignment NPD
• California Sports Physical Therapy Centers Inc

  • Multi-Specialty Clinic/Center
  • Walnut Creek, CA
  • NPI 1609464346

  Physical Therapist

  NPD
• California Sports Physical Therapy Centers Inc

  • Physical Therapist
  • Albany, CA
  • NPI 1891472965
  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Jose, CA
  • NPI 1245021401
  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1457004897
  NPD (past)

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1508604489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SIERRA TRAIL RD",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945615240",
            "telephone_number": "415-793-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAND CREEK RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132539",
            "telephone_number": "925-939-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "JACKY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Nikolas Pauls, MSW, CHES
• Lorna T Paz, M.D.
• Anna Marie Pecenka
• Whitney Erin Peek, MSN, APRN, FNP-C
• Aidan Pells
• Christina Penn, DMD
• Colleen Noel Pennington, PSY.D.
• Aubrey Pereira
• Evan Dennis Pereira
• Elena Perez

• Physical Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.