Jay Pennock Medical Director PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JAY PENNOCK MEDICAL DIRECTOR PC

Doing business as

Rejuvenate Vitamin Shot and IV Clinic

Practice address

901 Soquel Ave Ste a
Santa Cruz, CA 95062-2122

Phone

(831) 345-0652

NPI assigned

May 23, 2025

Organization subpart

No

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

Authorized official

Name

Jay Pennock, MDNPI 1437152907

Title

Owner and President

Phone

(831) 345-0652

Specialties & licenses 1

Addresses

Other names 1

• Rejuvenate Vitamin Shot and IV Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Pennock, MD

  • Integrative Medicine Physician
  • Capitola, CA
  • NPI 1437152907
  NPD Authorized official

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1821881830",
    "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": "901 SOQUEL AVE STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622122",
            "telephone_number": "831-345-0652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Whispering Pines Dr Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Scotts Valley",
            "state": "CA",
            "postal_code": "950664799",
            "country_code": "US",
            "telephone_number": "831-345-0652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAY PENNOCK MEDICAL DIRECTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "PENNOCK",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "831-345-0652",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenate Vitamin Shot and IV Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janus of Santa Cruz (Community Clinic North)
• Maya Ann Jarrow, RADT
• Jasmine Constanzo, D.O. (JasmineOMM)
• Nancy Jauregui-Bueno
• Jay a Johnson MD Inc
• JD Group
• JD Group
• Jeannine M. Rodems, MD Inc (Santa Cruz Direct Primary Care)
• Jennifer Jeffcoat, CST, PPN-P, PPN-E
• Johanna Jefferies, LCSW #108766

• Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.