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

Jacky Peng

Individual provider Physical Therapist · NPI 1508604489

Jacky Peng is a Physical Therapist in Private Practice in Brentwood, California. Qualified in 2024, 2 years ago. Practices with Golden State Orthopedics and Spine, a 190-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

101 Sand Creek Rd Ste A
Brentwood, CA 94513-2539
Phone: (925) 939-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 306189 (CA)

Record details

NPI number1508604489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Golden State Orthopedics And Spine — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brentwood