Dr. Alisa A Roda, MD
Dr. Alisa A Roda is a Pediatrics Physician provider (Pediatrics) practicing in Jackson, CA, registered in the NPPES registry with NPI 1477553261 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477553261 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Alisa A Roda |
| Credential | MD |
| Sex | Female |
| Practice address | 12140 NEW YORK RANCH RD, JACKSON RANCHERIA HEALTH COMPLEX, Jackson, CA, 95642 |
| Phone | 2092572400 |
| Fax | 2092572403 |
| Enumeration date | 2005-07-22 |
| Last updated in NPPES | 2022-01-10 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | G79164 | CA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G791640 | Medicaid | CA | — |
Copy-ready billing details
Provider: Alisa Roda, MD NPI: 1477553261 Taxonomy: 208000000X (Pediatrics Physician) Address: 12140 NEW YORK RANCH RD, JACKSON RANCHERIA HEALTH COMPLEX, Jackson, CA, 95642
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720084585 | Angela Groverman | Individual | Physician Assistant | Jackson, CA |
| 1265670384 | Linda Colliflower | Individual | Nurse Practitioner | Jackson, CA |
| 1932468881 | Jabir Akhtar | Individual | Family Medicine Physician | Jackson, CA |
| 1982957098 | Tamara Stogner | Individual | Diabetes Educator Registered Nurse | Jackson, CA |
| 1306245774 | Geralyn Da Silva | Individual | Registered Dietitian | Jackson, CA |
| 1093165953 | Kevin Sidhu | Individual | Emergency Medicine Physician | Jackson, CA |
| 1316482136 | Christy Hobgood | Individual | Clinical Social Worker | Jackson, CA |
| 1912639758 | Benjamin Mcpherson | Individual | Family Nurse Practitioner | Jackson, CA |
Verify this record
Cross-check NPI 1477553261 against the authoritative CMS record: view Dr. Alisa A Roda on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Alisa Roda practice?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-01-10.