Individual provider Active NPI

Jeremy Paul Lamotte, MD

  • Family Medicine Physician
  • San Clemente, CA
National Provider Identifier
1275504409
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A106889 Issued in CA
Practice address
1300 Avenida Vista Hermosa Ste. 100
San Clemente, CA 92673
Phone
(949) 218-8050
NPI assigned
Jan 27, 2006
Last updated
Sep 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A106889 CA Primary

Addresses

Primary practice location

1300 Avenida Vista Hermosa Ste. 100
San Clemente, CA 92673

Mailing address

1300 Avenida Vista Hermosa Ste. 100
San Clemente, CA 92673
Phone (949) 218-8050

Other practice location 1

24953 Paseo De Valencia Ste 10B
Laguna Hills, CA 92653-4340
Phone (949) 900-2393

Other identifiers 1

IdentifierTypeStateIssuer
200045570AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140611001748 CA Practitioner - Family Practice 8123076742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeremy la Motte MDGroup PAC ID 2365866746, 3 clinicians

Practice addresses (Care Compare)

1300 Ave Vis Hermosa
Suite 100
San Clemente, CA 92673-6315
Phone (949) 218-8050

24953 Paseo de Valencia
BLDG B
Laguna Hills, CA 92653-4342
Phone (949) 900-2393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106889CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South County Urgent Care Medical Corporation CurrentSince Feb 2, 2018 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince May 1, 2015 Accepting new patients
Gain Wellness Center PC CurrentSince Aug 11, 2020 Accepting new patients
Jeremy la Motte MD CurrentSince May 9, 2014 Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients
Owasso Medical Facility, Inc Past Accepting new patients
Jane Phillips Nowata Hospital Inc Past Accepting new patients
Walia Chiropractic, Inc PastSince Aug 24, 2015 Accepting new patients
St John Sapulpa, Inc. Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

24953 Paseo de Valencia
Ste 10B
Laguna Hills, CA 92653
Phone (949) 900-2393

25982 Pala
Ste 120
Mission Viejo, CA 92691
Phone (949) 900-2393

1300 Avenida Vista Hermosa
San Clemente, CA 92673
Phone (949) 218-8050

1300 Avenida Vista Hermosa
Ste 100
San Clemente, CA 92673
Phone (949) 218-3001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20552/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeremy.la.motte.1@20552.direct.athenahealth.com
  • Direct secure messaging: jeremy.lamotte@2672.securemail.prognocis.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1275504409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA STE. 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-218-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA STE. 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-218-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24953 Paseo De Valencia Ste 10B",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926534340",
            "country_code": "US",
            "telephone_number": "949-900-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOTTE",
        "first_name": "JEREMY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A106889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200045570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.