Active NPI
Matthew John Elliott, PA-C
- Physician Assistant
- Palm Springs, CA
National Provider Identifier
1497244792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55415
- Practice address
- 1330 N Indian Canyon Dr
Palm Springs, CA 92262-4880 - Phone
- (760) 864-4163
- NPI assigned
- May 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 55415 | CA | Primary |
Addresses
Primary practice location
1330 N Indian Canyon Dr
Palm Springs, CA 92262-4880
Mailing address
1330 N Indian Canyon Dr
Palm Springs, CA 92262-4880
Phone (760) 864-4163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Medical School at San Antonio, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.48 of 100
- Quality
- 56.38
- Improvement activities
- 40
- Cost
- 82.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55415 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koushan Siami M D a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Palm Springs, CA
- NPI 1891026373
-
- Anatomic Pathology & Clinical Pathology Physician
- La Quinta, CA
- NPI 1124899661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1497244792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 N INDIAN CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624880",
"telephone_number": "760-864-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 N INDIAN CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624880",
"telephone_number": "760-864-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-02",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "55415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.