Healthcare Provider Details

I. General information

NPI: 1811850480
Provider Name (Legal Business Name): RIVER CITY SURGERY CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4744 DUCKHORN DR
SACRAMENTO CA
95834-2592
US

IV. Provider business mailing address

2415 SAN RAMON VALLEY BLVD STE 4811
SAN RAMON CA
94583-5381
US

V. Phone/Fax

Practice location:
  • Phone: 650-560-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROXANNE LOYA
Title or Position: OFFICE MANAGER
Credential:
Phone: 602-616-7047