DR. ALISA A RODA MD
NPI 1477553261
Pediatrics in Jackson, CA

Q: What is Alisa Roda's NPI number?

The NPI number for Alisa Roda is 1477553261. It was assigned to this individual provider in the NPPES registry on July 22, 2005. The provider is also known as Alisa A Ladringan.

Q: What is Alisa Roda's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Alisa Roda was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2005PECOS Enrolled

12140 NEW YORK RANCH RD, JACKSON RANCHERIA HEALTH COMPLEX, JACKSON, CA 95642(209) 257-2400(209) 257-2403 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Feb 12, 2020 (2 updates tracked since 2020).

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About Dr. Alisa A Roda Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALISA A RODA MD (NPI 1477553261) is an individual pediatrics provider in Jackson, California, licensed in California (G79164) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477553261

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ALISA A RODACredential: MD

Location Address12140 NEW YORK RANCH RD, JACKSON RANCHERIA HEALTH COMPLEXJackson, CA 95642-9407

Mailing Address10305 Promenade PkwyElk Grove, CA 95757-9400 · (916) 478-5000 · Fax (877) 738-4262

Phone(209) 257-2400

Fax(209) 257-2403

Sole ProprietorNo

Enumeration DateJuly 22, 2005

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2020

✔ NPI 1477553261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G79164

Definition

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.

12140 NEW YORK RANCH RD, Jackson, CA 95642

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Other Names 1

Other Name (5)Alisa A Ladringan

Other Identifiers 1

Medicaid00G791640CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alisa A Roda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN SIDHU DO

Emergency Medicine