Individual provider Active NPI

Edith Ann Jones-Poland, MD

  • General Practice Physician
  • Palm Desert, CA
National Provider Identifier
1740283084
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A76482 Issued in CA
Practice address
73345 Highway 111 Ste 101
Palm Desert, CA 92260-3909
Phone
(760) 773-4948
Fax
(760) 773-4910
NPI assigned
May 31, 2005
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A76482 CA Primary

Addresses

Primary practice location

73345 Highway 111 Ste 101
Palm Desert, CA 92260-3909

Mailing address

73345 Highway 111 Ste 101
Palm Desert, CA 92260-3909
Phone (760) 773-4948

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
00A764820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218001150 CA Practitioner - General Practice 2769377613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Circe Healthcare Solutions IncGroup PAC ID 5890125975, 2 clinicians

Practice addresses (Care Compare)

73345 Hwy 111
Suite 101
Palm Desert, CA 92260-3909
Phone (760) 773-4948

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Circe Healthcare Solutions, Inc. General Practice CurrentSince Mar 1, 2020 Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Varun Gupta MD Professional Corporation Past Accepting new patients

Locations

73345 Highway 111
Ste 101
Palm Desert, CA 92260
Phone (760) 340-5800

74000 Country Club Dr
Ste G2
Palm Desert, CA 92260
Phone (760) 773-4948

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

275 N El Cielo Rd
Ste D414
Palm Springs, CA 92262
Phone (760) 969-5265

56970 Yucca Trl
Ste 103
Yucca Valley, CA 92284
Phone (760) 365-9878

57463 29 Palms Hwy
Ste 202
Yucca Valley, CA 92284
Phone (760) 365-0808

57463 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 228-1855

57475 29 Palms Hwy
Ste 101
Yucca Valley, CA 92284
Phone (760) 365-2520

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: edith.jonespoland.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: edith.jonespoland.p68@direct.mydohc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1740283084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73345 HIGHWAY 111 STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603909",
            "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": "73345 HIGHWAY 111 STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603909",
            "telephone_number": "760-773-4948",
            "fax_number": "760-773-4910"
        }
    ],
    "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": "760-773-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES-POLAND",
        "first_name": "EDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A76482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A764820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.