Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Pennell Fish

Individual provider Community Health Worker · NPI 1417753963

Jack Pennell Fish is a Community Health Worker in San Francisco, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

368 Fell St
San Francisco, CA 94102-5144
Phone: (415) 861-0828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1417753963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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