Healthcare Provider Details

I. General information

NPI: 1972444255
Provider Name (Legal Business Name): CARA SABRINA RODILES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 ROSS AVE
EL CENTRO CA
92243-4306
US

IV. Provider business mailing address

1354 APPALOOSA RD
EL CENTRO CA
92243-9510
US

V. Phone/Fax

Practice location:
  • Phone: 760-791-7001
  • Fax:
Mailing address:
  • Phone: 760-791-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number841196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: