Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARL EUGENE PETTY
NPI 1366144941
Specialist/Technologist, Other - Surgical Assistant in Spring Valley, CA

Active since March 20, 2023
2962 ELM TREE CT, SPRING VALLEY, CA 91978(619) 200-9105 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 19, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Carl Eugene Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL EUGENE PETTY (NPI 1366144941) is an individual surgical assistant in Spring Valley, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1366144941
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameCARL EUGENE PETTY
Location Address2962 ELM TREE CTSpring Valley, CA 91978-1965
Mailing Address2962 Elm Tree CtSpring Valley, CA 91978-1965 · (619) 200-9105
Sole ProprietorYes
Enumeration DateMarch 20, 2023
Last NPPES UpdateSeptember 19, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2026
✔ NPI 1366144941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
2962 ELM TREE CT, Spring Valley, CA 91978

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Petty's NPI number?

The NPI number for Carl Petty is 1366144941. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Carl Petty located?

Carl Petty practices at 2962 Elm Tree Ct, Spring Valley, CA 91978. The listed phone number is (619) 200-9105.

What is Carl Petty's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Carl Petty was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.