PACIFIC SACRAMENTO SURGERY CENTER, LLC – NPI #1265362974
Clinic/Center

PACIFIC SACRAMENTO SURGERY CENTER, LLC is an AHC clinic located in SACRAMENTO, CA. NPPES recently assigned the NPI number 1265362974 to PACIFIC SACRAMENTO SURGERY CENTER, LLC on May 22, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC SACRAMENTO SURGERY CENTER, LLC below.

NPI Profile for
PACIFIC SACRAMENTO SURGERY CENTER, LLC

NPI Number
1265362974
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC SACRAMENTO SURGERY CENTER, LLC
Primary location
3333 3RD AVE STE B
SACRAMENTO, CA 95817-2808
Phone: (913) 313-9812 Fax:
Mailing address
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone: Fax:
Organization Subpart
No
Authorized Official
DENNIS SONG
MEDICAL DIRECTOR
Phone: (415) 929-6603
Updated
Certification Date
May 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.