Basic Information
| Provider Information | |||||||||
| NPI: | 1255324612 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HATFIELD | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2596 WHITE OWL DR | ||||||||
| Address2: | |||||||||
| City: | OLIVENHAIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920246557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607536917 | ||||||||
| FaxNumber: | 7604362292 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 N EL CAMINO REAL | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | ENCINITAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920241335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604368667 | ||||||||
| FaxNumber: | 7604362292 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2005 | ||||||||
| LastUpdateDate: | 12/06/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | E1834 | CA | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | 213EP0504X | E1834 | CA | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | Public Medicine | 213ER0200X | E1834 | CA | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | Radiology | 213ES0000X | E1834 | CA | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | Sports Medicine | 213ES0103X | E1834 | CA | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
ID Information
| ID | Type | State | Issuer | Description | 22282362Z | 01 | CA | MEDICAL | OTHER |