Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Carl Eugene Petty

Individual provider Surgical Physician Assistant · NPI 1366144941

Carl Eugene Petty is a Surgical Physician Assistant in Spring Valley, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

2962 Elm Tree Ct
Spring Valley, CA 91978-1965
Phone: (619) 200-9105
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1366144941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESSeptember 19, 2026
Certification dateSeptember 19, 2026