MR. RICHARD TAMOTSU LA FAYETTE FNP-C
NPI 1346594165
Nurse Practitioner - Family in Santa Maria, CA

Active since October 31, 2012PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
316 S STRATFORD AVE STE B, SANTA MARIA, CA 93454(805) 332-8446 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2023, Dec 27, 2022, Feb 1, 2022 and 2 more (5 updates tracked since 2021).

About Mr. Richard Tamotsu La Fayette Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICHARD TAMOTSU LA FAYETTE FNP-C (NPI 1346594165) is an individual family provider in Santa Maria, California, licensed in California (95016427) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346594165
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RICHARD TAMOTSU LA FAYETTECredential: FNP-C
Location Address316 S STRATFORD AVE STE BSanta Maria, CA 93454-5908
Mailing Address316 S Stratford Ave Ste BSanta Maria, CA 93454-5908 · (805) 332-8446 · Fax (805) 332-8173
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 31, 2012
Last NPPES UpdateNovember 2, 20235 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1346594165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95016427
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 259885 (CA)
316 S STRATFORD AVE STE B, Santa Maria, CA 93454

Secondary Practice Locations 3

Location 1116 S Palisade Dr Ste 200Santa Maria, CA 93454-8905 · Phone (805) 739-3968
Location 21065 Kansas AveSan Luis Obispo, CA 93405 · Phone (805) 781-5389
Location 310333 El Camino RealAtascadero, CA 93422-5808 · Phone (805) 468-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Richard Tamotsu La Fayette Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254733322
PECOS Enrollment IDI20210712003271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard La Fayette reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
300 S STRATFORD AVE
Santa Maria, CA 93454
  • Reassigned Medicare billing, California enrollment
  • 263 clinicians in this Medicare group
Psychiatric Hospital
10333 EL CAMINO REAL
Atascadero, CA 93422
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454
Nurse Practitioner (Family)
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454
Dietitian, Registered
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454
Dietitian, Registered
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454
Nurse Practitioner (Acute Care)
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454
Nurse Practitioner
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454
Physician Assistant
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454
Dietitian, Registered
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard La Fayette's NPI number?

The NPI number for Richard La Fayette is 1346594165. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Where is Richard La Fayette located?

Richard La Fayette practices at 316 S Stratford Ave Ste B, Santa Maria, CA 93454. The listed phone number is (805) 332-8446.

What is Richard La Fayette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Richard La Fayette enrolled in Medicare?

Yes. Richard La Fayette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard La Fayette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard La Fayette reassigns Medicare benefits to 2 organizations: Pacific Central Coast Health Centers (Santa Maria, CA) and Department Of State Hospitals (Atascadero, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard La Fayette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard La Fayette was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.