LUIS GILMER GALLEGOS MEDINA SA-C
NPI 1720663503
Specialist/Technologist, Other - Surgical Assistant in Ashburn, VA

Active since March 13, 2021
44360 SUNSET MAPLE DR, ASHBURN, VA 20147(571) 762-9435 Get Directions Write a Review

NPPES record last updated: March 13, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Luis Gilmer Gallegos Medina Sa-c NPPES

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

LUIS GILMER GALLEGOS MEDINA SA-C (NPI 1720663503) is an individual surgical assistant in Ashburn, Virginia, licensed in Virginia (21-170) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1720663503
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameLUIS GILMER GALLEGOS MEDINACredential: SA-C
Location Address44360 SUNSET MAPLE DRAshburn, VA 20147-3890
Mailing Address44360 Sunset Maple DrAshburn, VA 20147-3890 · (571) 762-9435
Sole ProprietorYes
Enumeration DateMarch 13, 2021
NPPES CertifiedMarch 13, 2021
✔ NPI 1720663503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in VA · 21-170
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.
44360 SUNSET MAPLE DR, Ashburn, VA 20147

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 Luis Gallegos Medina's NPI number?

The NPI number for Luis Gallegos Medina is 1720663503. It was assigned to this individual provider in the NPPES registry on March 13, 2021.

Where is Luis Gallegos Medina located?

Luis Gallegos Medina practices at 44360 Sunset Maple Dr, Ashburn, VA 20147. The listed phone number is (571) 762-9435.

What is Luis Gallegos Medina'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 Luis Gallegos Medina was last updated on March 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.