Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alisa A Roda, MD

Individual provider Pediatrics Physician · NPI 1477553261

Dr. Alisa A Roda, MD is a Pediatrics Physician in Jackson, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12140 New York Ranch Rd Jackson Rancheria Health Complex
Jackson, CA 95642-9407
Phone: (209) 257-2400
Fax: (209) 257-2403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G79164 (CA)

Record details

NPI number1477553261
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESJanuary 10, 2022
Certification dateFebruary 12, 2020
Mailing address10305 Promenade Pkwy, Elk Grove, CA 95757-9400

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