Provider Demographics
NPI:1427034602
Name:FIELD, RONALD J (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:J
Last Name:FIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 VINE ST
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2597
Mailing Address - Country:US
Mailing Address - Phone:805-239-4222
Mailing Address - Fax:805-239-4832
Practice Address - Street 1:1108 VINE ST
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2597
Practice Address - Country:US
Practice Address - Phone:805-239-4222
Practice Address - Fax:805-239-4832
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23915208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G239151OtherBLUE SHIELD OF CA-FIRST S
1427034602OtherNPI
CAG23915OtherMEDICAL LICENSE #
CA00G239150OtherBLUE SHEILD OF CA-VINE ST
4518387OtherAETNA HMO