Organization Active NPI

Circe Healthcare Solutions, Inc.

  • General Practice Physician
  • Palm Desert, CA
National Provider Identifier
1174155386
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CIRCE HEALTHCARE SOLUTIONS, INC.
Practice address
74000 Country Club Dr Ste G2
Palm Desert, CA 92260-1679
Phone
(760) 773-4948
Fax
(844) 946-0546
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Edith Jones-Poland, MDNPI 1740283084
Title
Owner
Phone
(760) 401-2502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

74000 Country Club Dr Ste G2
Palm Desert, CA 92260-1679

Mailing address

74000 Country Club Dr Ste G2
Palm Desert, CA 92260-1679

Other practice location 1

57463 29 Palms Hwy Ste 202
Yucca Valley, CA 92284-2925
Phone (760) 773-4948

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edith.jonespoland.p2@direct.mydohc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414002368 CA Part B Supplier - Clinic/Group Practice 5890125975 Receives reassigned benefits from 6 practitioners
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: edith.jonespoland.p2@direct.mydohc.nextgenshare.com

Practitioners & affiliated clinicians

Practitioners 6

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": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1174155386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB DR STE G2",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601679"
        },
        {
            "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": "922601679",
            "telephone_number": "760-773-4948",
            "fax_number": "844-946-0546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57463 29 Palms Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922842925",
            "country_code": "US",
            "telephone_number": "760-773-4948",
            "fax_number": "844-946-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIRCE HEALTHCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "JONES-POLAND",
        "authorized_official_first_name": "EDITH",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edith.jonespoland.p2@direct.mydohc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "74000 Country Club Dr Ste G2",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922601679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.