Dr. Alisa A Roda, MD
Pediatrics in Jackson, CA. Individual provider (NPI-1).
NPI number1477553261
StatusActive
Last updated in NPPESJan 10, 2022
Details
- NPI
- 1477553261
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alisa A Roda
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2005
- Certification date
- Feb 12, 2020
- Last updated
- Jan 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | G79164 | CA | Yes |
Other names
- Alisa A Ladringan (Other Name)
Practice location
12140 New York Ranch RdJackson Rancheria Health Complex
Jackson, CA 95642-9407
Phone 209-257-2400 · Fax 209-257-2403
Mailing address
10305 Promenade PkwyElk Grove, CA 95757-9400
Phone 916-478-5000 · Fax 877-738-4262
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