NPIMap

Organization Active NPI

Edith a. Jones-Poland MD Professional Corp

  • General Practice Physician
  • Yucca Valley, CA
National Provider Identifier
1083748032
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A76482 Issued in CA
Legal business name
EDITH A. JONES-POLAND MD PROFESSIONAL CORP
Practice address
56925 Yucca TRL
Number 232
Yucca Valley, CA 92284-7913
Phone
(760) 401-2502
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Edith Ann Jones-Poland, MD
Title
Owner
Phone
(760) 401-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A76482 CA Primary

Addresses

Primary practice location

56925 Yucca TRL
Number 232
Yucca Valley, CA 92284-7913

Mailing address

56925 Yucca TRL
Number 232
Yucca Valley, CA 92284-7913
Phone (760) 401-2502

Other names 1

  • Edith A. Jones-Poland MD and Assoc. Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

56925 Yucca Trl
#232
Yucca Valley, CA 92284
Phone (760) 401-2502

57475 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1855

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1083748032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56925 YUCCA TRL",
            "address_2": "NUMBER 232",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847913",
            "telephone_number": "760-401-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56925 YUCCA TRL",
            "address_2": "NUMBER 232",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847913",
            "telephone_number": "760-401-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH A. JONES-POLAND MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "JONES-POLAND",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-401-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A76482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edith A. Jones-Poland MD and Assoc. Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.