Pacific Sacramento Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC SACRAMENTO SURGERY CENTER, LLC

Practice address

3333 3Rd Ave Ste B
Sacramento, CA 95817-2808

Phone

(913) 313-9812

NPI assigned

May 22, 2026

Last updated

Jul 31, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dennis Song, MD, DDSNPI 1932235470

Title

Medical Director

Phone

(415) 929-6603

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Song, MD DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • San Francisco, CA
  • NPI 1932235470
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1265362974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 3RD AVE STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172808",
            "telephone_number": "913-313-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SACRAMENTO SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-929-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Harbor Treatment, Inc.
• Pacific Heartwood Wellness PC
• Pacific MD Housecalls
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Medical, Inc.
• Pacific Skin Institute
• Pacific Sunrai LLC
• Pacific Surgical Arts Apc
• Terra Tien Pack
• Joahjanae Packard

• Ambulatory Surgical Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.