Active NPI
Renita Louellen Tyler-Richards, PA-C
- Physician Assistant
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54576
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Jun 13, 2017
- Last updated
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 54576 | CA | |
| Physician Assistant | 363A00000X | 54576 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
255 N Herwaldt Dr
Fresno, CA 93701-2186
Phone (559) 459-7300
Other practice location 2
255 N Herwaldt Dr
Fresno, CA 93701-2186
Phone (559) 459-7300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients |
Locations
1501 Trousdale Dr
Fl 5
Burlingame, CA 94010
Phone (650) 652-8787
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110
301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Organizations & group practices 12
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.
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Ambulatory Surgical Clinic/Center
- Los Altos, CA
- NPI 1568851327
-
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
- NPI 1982845186
-
dba Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
dba Palo Alto Medical Foundation
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1043654486
-
- Ambulatory Surgical Clinic/Center
- San Carlos, CA
- NPI 1164840088
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1306241534
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SHC Radiation Oncology
- Radiation Oncology Physician
- Pleasanton, CA
- NPI 1124561758
Hospital
-
dba Stanford Health Care Emeryville 5800
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
dba Stanford Health Care Emeryville 6121
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
dba Stanford Health Care Pleasanton 5565
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1437689346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "255 N Herwaldt Dr",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937012186",
"country_code": "US",
"telephone_number": "559-459-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 N Herwaldt Dr",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937012186",
"country_code": "US",
"telephone_number": "559-459-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLER-RICHARDS",
"first_name": "RENITA",
"middle_name": "LOUELLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "54576",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.