Individual provider Active NPI

Richard Tamotsu La Fayette, FNP-C

  • Family Nurse Practitioner
  • Santa Maria, CA
National Provider Identifier
1346594165
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016427 Issued in CA
Practice address
316 S Stratford Ave Ste B
Santa Maria, CA 93454-5908
Phone
(805) 332-8446
NPI assigned
Oct 31, 2012
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 259885 CA
Family Nurse Practitioner 363LF0000X 95016427 CA Primary

Addresses

Primary practice location

316 S Stratford Ave Ste B
Santa Maria, CA 93454-5908

Mailing address

316 S Stratford Ave Ste B
Santa Maria, CA 93454-5908
Phone (805) 332-8446

Other practice location 1

116 S Palisade Dr Ste 200
Santa Maria, CA 93454-8905
Phone (805) 739-3968

Other practice location 2

1065 Kansas Ave
San Luis Obispo, CA 93405
Phone (805) 781-5389

Other practice location 3

10333 El Camino Real
Atascadero, CA 93422-5808
Phone (805) 468-2000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712003271 CA Practitioner - Nurse Practitioner 1254733322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians

Practice addresses (Care Compare)

10333 El Camino Real
Atascadero State Hospital
Atascadero, CA 93423-7001
Phone (916) 651-8811

116 S Palisade Dr
Suite 200
Santa Maria, CA 93454-8905
Phone (805) 739-3968

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
259885CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Jan 1, 2022 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Jul 1, 2021 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Jul 1, 2021 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

116 S Palisade Dr
Ste 200
Santa Maria, CA 93454
Phone (805) 739-3968

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

316 S Stratford Ave
Ste B
Santa Maria, CA 93454
Phone (805) 332-8446

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1346594165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S STRATFORD AVE STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545908",
            "telephone_number": "805-332-8446",
            "fax_number": "805-332-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S STRATFORD AVE STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545908",
            "telephone_number": "805-332-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S Palisade Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934548905",
            "country_code": "US",
            "telephone_number": "805-739-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 Kansas Ave",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "93405",
            "country_code": "US",
            "telephone_number": "805-781-5389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10333 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934225808",
            "country_code": "US",
            "telephone_number": "805-468-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA FAYETTE",
        "first_name": "RICHARD",
        "middle_name": "TAMOTSU",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "259885",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.