Jitka Civrna

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JITKA CIVRNA

Practice address

74000 Country Club Dr Ste G2
Palm Desert, CA 92260

Phone

(760) 773-4948

Fax

(760) 773-4910

NPI assigned

Oct 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jitka Civrna, MD

Title

Physician

Phone

(760) 773-4948

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1053500926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-000 COUNTRY CLUB DR. #G2",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-773-4948",
            "fax_number": "760-773-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB DR STE G2",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-773-4948",
            "fax_number": "760-773-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITKA CIVRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "CIVRNA",
        "authorized_official_first_name": "JITKA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-773-4948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Lee Jerominski, PHARM D.
• Kenneth H Jesser, M.D.
• Carsen Jessup
• Bianca Jaennetth Jimenez
• Julissa Jimenez
• Jjam International Inc (Crown Medical Transport)
• JM Therapy Works Inc
• Joan L Warren, Medical Corporation (Vein Institute of the Desert)
• John F Kennedy Memorial Foundation
• John N Taylor, MD a Professional Corporation

• Internal Medicine Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.