Provider Demographics
NPI:1255324612
Name:HATFIELD, JAMES P (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:HATFIELD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2596 WHITE OWL DR
Mailing Address - Street 2:
Mailing Address - City:OLIVENHAIN
Mailing Address - State:CA
Mailing Address - Zip Code:92024-6557
Mailing Address - Country:US
Mailing Address - Phone:760-753-6917
Mailing Address - Fax:760-436-2292
Practice Address - Street 1:501 N EL CAMINO REAL
Practice Address - Street 2:SUITE 201
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1335
Practice Address - Country:US
Practice Address - Phone:760-436-8667
Practice Address - Fax:760-436-2292
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1834213E00000X, 213EP0504X, 213ER0200X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA22282362ZOtherMEDICAL
CAT11068Medicare UPIN
CA1050620001Medicare NSC
CAWE1834BMedicare PIN