Provider Demographics
NPI:1083792766
Name:FIELD, DAN LADD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:LADD
Last Name:FIELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2865 SUNRISE BLVD., SUITE 200
Mailing Address - Street 2:MDSTAFFERS
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-6104
Mailing Address - Country:US
Mailing Address - Phone:866-907-8233
Mailing Address - Fax:888-808-8233
Practice Address - Street 1:2865 SUNRISE BLVD., SUITE 200
Practice Address - Street 2:MDSTAFFERS
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-7204
Practice Address - Country:US
Practice Address - Phone:866-907-8233
Practice Address - Fax:888-808-8233
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-08-10
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG57150207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G571500Medicaid
00G571500Medicare ID - Type Unspecified
CA00G571500Medicaid