Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477553261 Individual Practitioner Female Practitioner

Dr. Alisa A Roda , MD

Pediatrics • Jackson, CA

Professional Overview & Biography Verified Profile Summary

Dr. Alisa Roda, MD is a registered healthcare professional specializing in Pediatrics in Jackson, CA. Practice services are available at 12140 NEW YORK RANCH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12140 New York Ranch Rd
Jackson Rancheria Health Complex

Jackson, CA 956429407

Telephone 2092572400
Fax 2092572403
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Jackson, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-12
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G79164

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00G791640 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Kevin Sidhu , DO

Emergency Medicine

NPI 1093165953

Doctor of Osteopathic Medicine (D.O.)

NPI 1265670384

RNC, Nurse Practitioner

Geralyn Da Silva

Dietitian, Registered

NPI 1306245774
Christy Hobgood

Social Worker - Clinical

NPI 1316482136
NPI 1316946551

Doctor of Podiatric Medicine

Fatima Jacobo

Dental Hygienist

NPI 1366364788

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 12, 2020

Registered at 10305 PROMENADE PKWY, ELK GROVE, CA 957579400 (Tel: 9164785000)

NPI Profile Active October 05, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2010

Registered at 12140 NEW YORK RANCH RD, JACKSON RANCHERIA HEALTH COMPLEX, JACKSON, CA 956429407 (Tel: 2092572400)

📍
Updated Business Mailing Address October 05, 2010

Registered at PO BOX 939, MACT HEALTH BOARD, ANGELS CAMP, CA 952220939 (Tel: 2097546240)

👤
Provider Name / Credentials Updated October 05, 2010

Recorded as ALISA RODA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2010

Pediatrics (License #G79164 in CA)

🟢
Initial NPI Registration & Enumeration July 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477553261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2005
Last Update: January 10, 2022
Sole Proprietor: No

Mailing Address

10305 Promenade Pkwy

Elk Grove, CA 957579400

Phone: 9164785000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.