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

Luis Gilmer Gallegos Medina, SA-C

Individual provider Surgical Assistant · NPI 1720663503

Luis Gilmer Gallegos Medina, SA-C is a Surgical Assistant in Ashburn, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

44360 Sunset Maple Dr
Ashburn, VA 20147-3890
Phone: (571) 762-9435
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 21-170 (VA)

Record details

NPI number1720663503
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedMarch 13, 2021
Last updated in NPPESMarch 13, 2021
Certification dateMarch 13, 2021