Active NPI
Nicholas Matthew Roalofs
- Physician Assistant
- Palm Desert, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA68045
- Practice address
- 44311 Monterey Ave
Palm Desert, CA 92260-2710 - Phone
- (760) 773-6616
- Fax
- (760) 773-6618
- NPI assigned
- Dec 13, 2023
- 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 | PA68045 | CA | Primary |
Addresses
Primary practice location
44311 Monterey Ave
Palm Desert, CA 92260-2710
Mailing address
44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13802 W Meeker Blvd
Sun City West, AZ 85375-4422
Phone (623) 547-2600
14044 W Camelback Rd
Suite 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600
19636 N 27TH Ave
Suite 202
Phoenix, AZ 85027-4018
Phone (623) 547-2600
5823 W Eugie Ave
Suite a
Glendale, AZ 85304-1277
Phone (602) 843-1265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11051 | AZ | MD | Orthopedic Physical Therapist |
| PA68045 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Digestive Health, PC | Current | Accepting new patients | |
| Palo Verde Hematology Oncology LTD. | Current | Accepting new patients |
Locations
5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717
6320 W Union Hills Dr
Ste 2600B
Glendale, AZ 85308
Phone (602) 942-5600
14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882
26900 N Lake Pleasant Pkwy
Ste 201
Peoria, AZ 85383
13760 N 93rd Ave
Ste 101
Peoria, AZ 85381
Phone (623) 876-3800
9250 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 478-8091
9425 W Bell Rd
Ste 200
Sun City, AZ 85351
13802 W Meeker Blvd
Sun City West, AZ 85375
Phone 6233029300412
Organizations & group practices 3
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
- Scottsdale, AZ
- NPI 1992981583
-
- Hematology & Oncology Physician
- Glendale, AZ
- NPI 1447272372
-
dba Dermatology and Plastic Surgery Specialists
- Plastic Surgery Physician
- Palm Desert, CA
- NPI 1356770515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1518735166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44311 MONTEREY AVE",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602710",
"telephone_number": "760-773-6616",
"fax_number": "760-773-6618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44311 MONTEREY AVE",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602710",
"telephone_number": "760-773-6616",
"fax_number": "760-773-6618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROALOFS",
"first_name": "NICHOLAS",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-13",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
- Kiara Rivera
- Maria F Rivera
- Marina Rivera
- Spencer Thomas Rivera
- Samir Rizvanbegovic, DDS
- Robert & Rowley McLachlan DDS Inc
- Robert F Steinberg, M.D. a Medical Corporation
- Robert G Czako, M.D., Inc. (Stat Urgent Care Medical Group)
- Robert L. Langford,Dba Desert Cities Therapy Center
- Jay D Roberts, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.