Healthcare Provider Details

I. General information

NPI: 1083050025
Provider Name (Legal Business Name): ALICIA RODRIGUEZ-PLA MD, PHD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2013
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1189 E HERNDON AVE STE 101
FRESNO CA
93720-3167
US

IV. Provider business mailing address

1189 E HERNDON AVE STE 101
FRESNO CA
93720-3167
US

V. Phone/Fax

Practice location:
  • Phone: 559-421-3768
  • Fax: 855-538-9966
Mailing address:
  • Phone: 559-421-3768
  • Fax: 855-538-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA142638
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA142638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: