Provider Demographics
NPI:1073651766
Name:JAMES P HATFIELD DPM INC
Entity Type:Organization
Organization Name:JAMES P HATFIELD DPM INC
Other - Org Name:ENCINITAS PODIATRY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:760-815-2535
Mailing Address - Street 1:2596 WHITE OWL DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-6557
Mailing Address - Country:US
Mailing Address - Phone:760-815-2535
Mailing Address - Fax:760-436-2292
Practice Address - Street 1:2596 WHITE OWL DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-6557
Practice Address - Country:US
Practice Address - Phone:760-815-2535
Practice Address - Fax:760-436-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1834213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE1834OtherJP HATFIELD,DPM-STATE LIC
CAZZZ82362227OtherBLUE SHIELD & MEDICAL
CA1050620001Medicare NSC
CAZZZ82362227OtherBLUE SHIELD & MEDICAL
CAWE1509Medicare PIN