Jacob Richard Lautze, MD

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

210678 Issued in CA

Practice address

110 Cooper St # 500
Santa Cruz, CA 95060-4574

Phone

(831) 425-4100

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1528709649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COOPER ST # 500",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604574",
            "telephone_number": "831-425-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COOPER ST # 500",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604574",
            "telephone_number": "831-425-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTZE",
        "first_name": "JACOB",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CA",
            "license": "210678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "110 Cooper St # 500",
            "city": "Santa Cruz",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950604574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele Lau, CERTIFIED THERAPIST
• Sandra Laue, RN
• Jill Lauren, MD
• Mercedes Grace Laurencin, M.D. M.P.H.
• Emily Lauri, LCSW
• Ines Danita Lawrence8, REGISTERED NURSE
• Angela Lawson, MD
• Sophie Ellen Layman
• Christian David Le Moss
• Andrew Le

• Sports Medicine (Internal Medicine) Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Sports Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.