Healthcare Provider Details

I. General information

NPI: 1053226027
Provider Name (Legal Business Name): MELINA YANET RODAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 COFFEE RD STE 206
BAKERSFIELD CA
93309-1274
US

IV. Provider business mailing address

13061 ROSEDALE HWY # G-615
BAKERSFIELD CA
93314-7612
US

V. Phone/Fax

Practice location:
  • Phone: 661-750-8200
  • Fax:
Mailing address:
  • Phone: 661-750-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95272854
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: