Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E1834 | CA |
N | 222Z00000X | Podiatrist | E1834 | CA |
N | 213EP0504X | Public Medicine | E1834 | CA |
N | 111NR0200X | Radiology | E1834 | CA |
N | 213ER0200X | Radiology | E1834 | CA |
N | 2081S0010X | Sports Medicine | E1834 | CA |
N | 213ES0000X | Sports Medicine | E1834 | CA |
Y | 213ES0103X | Foot & Ankle Surgery | E1834 | CA |
NPI | 1255324612 |
---|---|
Provider Name | Dr. James P Hatfield |
First Address | Olivenhain, CA 92024-6557 |
Second Address | Encinitas, CA 92024-1335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 06/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22282362Z | MEDICAL (01) | CA |
T11068 | (02) | CA |