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CARL EUGENE PETTY
NPI 1366144941
Physician Assistant - Surgical 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: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 provider in Spring Valley, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1366144941
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
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
Phone(619) 200-9105
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1366144941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X
2962 ELM TREE CT, Spring Valley, CA 91978
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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 Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Carl Petty was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.