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

Mr. Gregory Petty, PA-C

Individual provider Physician Assistant · NPI 1558557785

Mr. Gregory Petty, PA-C is a Physician Assistant in San Diego, California. Licensed in California, Georgia and North Carolina. Registered with an NPI since 2007.

Licensed in
CA, GA, NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone: (858) 552-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20371 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 005159 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-03251 (NC)

Record details

NPI number1558557785
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2007
Last updated in NPPESFebruary 23, 2015

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