DR. KRISTINA ANNE ROLOFF (D.O.) – Obstetrics & Gynecology Physician, NPI 1649418401

DR. KRISTINA ANNE ROLOFF (D.O.) is a healthcare provider. based in Colton, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 20A10186 (CA). The NPI Number for DR. KRISTINA ANNE ROLOFF (D.O.) is 1649418401

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTINA ANNE ROLOFF (D.O.)
NPI
1649418401
Phone
(909) 580-3470
Address
400 N PEPPER AVE
Enumeration Date
30 January 2009
Last Update Date
10 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095802270
Graduation Year
2006 (20 years ago)
PAC ID
8022264845
Group Practice PAC ID
7113911470
Professional Enrollment ID
I20120810000342
Address ID
CA923241801CO400XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. KRISTINA ANNE ROLOFF (D.O.)

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    COLTON, CA 923241801

    Phone: (909) 580-3470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120810000342IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113911470View full group profile
NameSpecialtyState
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Obstetrics/Gynecology, Medical Genetics And GenomicsCA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

How do payers reference DR. KRISTINA ANNE ROLOFF (D.O.)?
For DR. KRISTINA ANNE ROLOFF (D.O.), use NPI 1649418401 as the unique 10-digit identifier.
Would DR. KRISTINA ANNE ROLOFF (D.O.) appear as active to a payer?
You can treat DR. KRISTINA ANNE ROLOFF (D.O.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. KRISTINA ANNE ROLOFF (D.O.)?
DR. KRISTINA ANNE ROLOFF (D.O.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KRISTINA ANNE ROLOFF (D.O.)?
Travel planning: use Colton, California as the reference point for DR. KRISTINA ANNE ROLOFF (D.O.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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