Professional Summary

Professional Education
  • Fellowship: Stanford University School of Medicine (1992) CA
  • Medical Education: New York Medical College Registrar (1985) NY
  • Residency: Long Island Jewish Medical Center (1988) NY
  • Board Certification: American Board of Internal Medicine, Nephrology (1990)
  • Board Certification: American Board of Internal Medicine, Internal Medicine (1988)
  • Internship: Long Island Jewish Medical Center (1986) NY

Honors & Awards
  • America's Top Doctors, Best Doctors (2004-2018)
  • America's Top Doctors Award, Castle Connolly Medical Ltd. ((2014))
  • America's Top Doctors Award, Castle Connolly Medical Ltd. ((2015-2018))

Administrative Appointments
  • Associate Chair, Stanford University School of Medicine - Medicine (2002 - 2007)
  • Clinical Chief, Nephrology, Stanford University (1999 - 2012)
  • Director, Stanford Glomerular DIsease Center (2010 - Present)


Clinical Trials

Clinical trials are research studies that evaluate a new medical approach, device, drug, or other treatment. As a Stanford Health Care patient, you may have access to the latest, advanced clinical trials.

Open trials refer to studies currently accepting participants. Closed trials are not currently enrolling, but may open in the future.

Practice Locations

Lupus Clinic Palo Alto, CA
Palo Alto, CA

900 Blake Wilbur Drive, 2nd Floor, Suite W3045

Palo Alto , CA 94304

(650) 723-6961

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Amyloid Center Stanford, CA
Stanford, CA

300 Pasteur Drive , 2nd Floor, Room A260

Stanford , CA 94305

(650) 725-6186

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Kidney Clinic (Nephrology) at Boswell Building Stanford, CA
Stanford, CA

300 Pasteur Drive, 1st Floor, Suite A175

Stanford , CA 94305

(650) 723-6961

Make An Appointment More Clinic Information » Getting Here »

Patient Ratings

(65 Ratings)

Overall Rating

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Friendliness/courtesy of the care provider
Explanations the care provider gave you about your problem or condition
Concern the care provider showed for your questions or worries
Care provider's efforts to include you in decisions about your care
Care provider's efforts to include you in decisions about your treatment
Recommended to others
Likelihood of your recommending this care provider to others
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Wait time at clinic (from arriving to leaving)

How Our Ratings Work

The Patients Ratings and comments are gathered from our Patient Satisfaction Survey and displayed in their entirety.

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Patient Reviews

(142 reviews)

He’s a caring doctor
He is very thorough and answers my questions. I am fortunate to have him as my nephrologist.
I trust Dr. Lafayette.
He is an excellent doctor.
Dr Lafayette is a knowledgeable, thorough, caring and personable doctor. He tries to puts the patient at ease . He has a great ‘bedside manner’ and I trust him.
Dr. Lafayette let me know that the clinic would contact me to arrange for my next appointment. The survey seems to expect that what the physician may say about something happening after the appointment would happen immediately. I did not expect to be contacted immediately about making the appointment for 5 months from now.
Extremely knowledgeable and personable! I consider myself very lucky to have him as my Nephrologist!
He is excellent
Dr. Lafayette is exceptional. He knows my history and addresses my concerns very well. He is very responsive always promptly addressing my concerns every time I email him. I am fortunate to have him as my doctor.
Dr. Lafayette is an excellent doctor, very caring and compassionate, treating the whole person and not just the disease.
I am so lucky to have Dr. Lafayette as my physician for the last 12 years. I feel he could not be more caring and concerned for my welfare. He is always up to date and can answer all of my questions, makes me feel like all of my questions are important and doesn't rush through my visits. I recommend him to all of my friends when they need a nephrologist!
Dr. Lafayette is very thorough and expresses concern for the patient.
Took time answered all my questions.
I have run out of adjectives to describe Doctor Lafyette — he is simply the best doctor I’ve encountered in my life as a patient.
Dr. Lafayette is informative, personable and knowledgeable. I would recommend him without any reservations.
Excellent at explaining and informing me of issues.
Dr Lafayette is an excellent doctor!
dr. lafayette is an exceptional doctor, which every patient is extremely lucky to have.
Caring and informative physician. I feel that I am in great hands.
Excellent and caring physician
Extremely knowledgeable and very personable. All good words for him.
Great job
Great Doctor!!
I truly believe I am alive and healthy today only because of Dr. Lafayette's care.
Compassionate, truthful, knowledgeable. I’m fortunate to be in his care.
He is awesome
Dr Lafayette is an excellent nephrologist, he takes into consideration for the best treatment options for myself, he reviewed my lab test report in details for the items are out of ranges. He also discussed with me about the progression and treatment.
He is a great doctor
Excellent physician. So glad to have such an experienced and knowledgeable physician.
I really respect and like him as both physician and colleague. He is what every physician should be all about. Sadly, Richard is a unicorn and an endangered species, the likes of which will likely not be seen by future generations. Stephen B. Strum, MD, FACP
Dr Lafayette is very personable and Easy to talk with. He eases any concerns I might have with language I can understand. He is an excellent doctor and I would give my highest recommendation. I appreciate him and trust him completely.
I have been a patient of Dr. Lafayette for over ten years. He is an outstanding doctor, knowledgeable, kind, compassionate, responsive and an expert in his field. I fully trust him.
It’s an excellent nephrologist.
He is an amazing doctor. I trust everything he says. I’ve been his patient for over 20 years. He’s the best.
He is a very kind and understanding doctor. I am very pleased having him as my kidney physician.
We appreciate him greatly!
Intelligent, caring nephrologist
He is an excellent Doctor. He is one of your top best doctor.
Dr Lafayette is an excellent doctor, highly recommended.
Definitely will
Excellent, thorough and caring doctor..
The best of the best
Very good doctor
Informative caring physician
Dr Lafayette is not only a great doctor but also a superb human being.
Richard Lafayette, M.D. is an absolutely excellent nephrologist. He’s not only extremely knowledgeable; but, quite personable too. More than willing to address all my questions and concerns.
My experience with Dr. Lafayette has always been great. Very thorough & more importantly he listens patiently to any/all of my queries.
He's awesome
I have seen Dr. Lafayette for over ten years. He has made substantial (I mean highly substantial positive) difference in my care. For two years, I lost the luxury of seeing him due to my HMO insurance out-of-network provider restriction. I have now changed to to a PPO plan, and I am happy that I can see Dr. Lafayette again and I do not take it for granted. He is such an outstanding doctor, who is very knowledgeable, caring, empathetic, and understanding. He knows my medical history well, listens well and explains things clearly. He is very patient and addresses every one of my concerns (a lot of times trivia) thoroughly. I have never felt once being rushed. Just by seeing him literally makes me feel better each time. I trust Dr. Lafayette completely and consider myself very lucky to have him as my doctor.
Dr. Lafayette is a wonderful physician, very lucky to have him as a doctor. I recommend him for anyone that has a kidney problem. He really cares about his patients and is up-to-date on all the current literature.
I wonderful doctor!!
Richard has been my doctor since 1997. I think he is an absolutely wonderful doctor, very easy to talk to and confide in when necessary medically. I feel extremely lucky to have him!
Helpful, good listener, sound recommendations
Great doctor. So glad I have him for my dr
He's great.
Great visit.
I have been a patient of Dr. Lafayette’s since 2011. He has saved my life. He answers all of my questions. His bedside manner is great. Makes me feel like I matter. We even have a few laughs. I admire everything about him.
Dr Lafayette has been my Dr for several decades and I value his expertise, experience and personable bedside manners. Since being diagnosed with PKD (Poly Cystic kidney disease in my 40’s) Dr. Lafayette has guided me through my end stage renal failure and into my transplant till now with his care, I feel I’ve had my strongest advocate at my side.
I trust Dr Lafayette completely… very knowledgeable and personable
Did this on the prior window. I look forward to meeting Dr. Lafayette in person.
He is an excellent doctor. I trust his judgement.
Thorough. Patient oriented. His expertise is why I trust his care.
I very much appreciate Dr. Lafayette's care of my condition and his attention to all the details about my health. It is a pleasure to visit with him and learn something new about my health in every visit.
Dr. Lafayette is the best. I have been with him for over 20 years. There is a reason for that.
Been seeing Dr. Lafayette for 20 years. GREAT doctor/patient relationship.
Dr Lafayette is the best
Dr. Lafayette is a very caring professional. I am very satisfied with the treatment and his advice.
Very good.
Dr. Lafayette has been a great doctor to my husband.
My doctor Dr. Richard L is the BEST on the planet
Dr. Lafayette is very knowledgeable and professional. He has always been very kind, friendly and patient. He is the best doctor I've ever met.
Care provider is excellent.
Dr. Lafayette - is the best dr. is - the most caring and kindness person.
Dr. Lafayette is a very knowledgeable & thorough kidney doctor -
For) 10 years, Richard Lafayette has been my physician. I cannot think of anyone better!
Dr. Lafayette is excellent.
Dr. Lafayette is wonderful!
Dr. Richard Lafayette is by far! - the best friendliest physician I've ever met!
Dr. Lafayette has great interpersonal skills. Very knowledgeable about his field.
Dr. Lafayette is wonderful
Dr. Lafayette is very patient with me and is empathetic to my condition but also professional.
Dr. Lafayette was intelligent, attentive, thorough, and kind. Outstanding provider.
Dr. Lafayette is awesome.
Good take care patients.
Dr. Lafayette is excellent doctor with sincere concern of my situation.
I got good, nice doctor and nurses who help me a lot -
Dr. Lafayette is wonderful
Dr. Lafayette is amazing. He gives us the time we need to get questions answered. Very knowledgeable and compassionate.
So helpful and so professional - just the very BEST doctor(s) and nurses and staff I've ever encountered. I really appreciate these people - feel lucky to be their patient.
Dr. Richard Lafayette is an ABSOLUTELY AMAZING doctor! I am THRILLED to have him as my kidney doctor.
Very knowledgeable.
Dr. Lafayette is an outstanding physician and delightful person.
I never feel rushed!
Great doctor & person.
Dr. Lafayette took the time out of his busy schedule to walk me outside and show me where to catch the shuttle. Very much appreciated!
Top flight care provider. The best spends time and makes every effort to treat my illness and communicate/inform me about it.
Dr. Lafayette is an excellent doctor w/great medical experience. Highly recommended to everyone!
he is a pro
I am a former Kahn patient who changed insurance plans specifically so I could work directly with Dr. Lafayette. I consider myself incredibly fortunate to have him as my nephrologist.
Dr. Lafayette has given me hope for the future.
I get the best care from Dr. Lafayette and his team.
I've received great a service from Sanford Hospital. I appreciated it. Special dr. in Lafayette.
Excellent, as always!
Dr Lafayette is the best there is.
Dr. Lafayette is remarkable. He spent a great deal of time helping me understand my disease and his plan to treat me. This is a wonderful doctor who goes out of his way for his patients - Extremely knowledgeable.
The doctors I saw were wonderful and I appreciate how generous they were with their time and their expertise on my condition.
Dr. Lafayette is a caring and knowledgeable doctor. I trust him and feel lucky to have him as my doctor.
Dr. Lafayette is ne of the best doctors I have ever had. He is caring, knowledgeable and friendly. I am lucky to have him as one of my doctors. He has played a critical role in helping me go directly to kidney transplant without having to go through dialysis. I trust him.
Dr. Lafayette is the best! Has been my doctor for 20+ years.
Dr. Lafayette is an excellent care provider. He is extremely thorough in explaining my medical issues. He patiently listens to my concerns and engages in discussion.
All good, Dr. Lafayette provides the best care and makes sure I am in good heath.
First time seeing Dr. Lafayette - He was patient, kind and knowledgeable. He answered many questions I had and had a genuine concern for me as a patient. Highly recommend!
I drive 3 hours to consult with Dr. Lafayette. I have utmost confidence in him - He is an expert in my rare disease.
Very positive meeting. I've provided a second CD of scan but have not heard any response from Dr. Lafayette?
he is a wonderful Doctor! I am lucky to have him as my care provide! always has time for any questions or concerns I have either by My Health or by phone. he really cares about my health!!
Dr. Richard A. Lafayette is THE doctor I TRUST, respect and admire.
Excellent, and was able to clear up a conflict concerning another medical visit in another clinic.
I was extremely impressed with Dr. Lafayette's professionalism, knowledge, communication and care. I would without a doubt recommend him to anyone who needs an EXCELLENT nephrologist.
Very positive, thorough intern and primary physician.
Dr. Lafayette is a wonderful doctor.
Wonderful care!
Dr Lafayette is an excellent Doctor. I am fortunate to have him as my doctor
Dr. Richard Lafayette is an excellent nephrologist. I am fortunate to have him as my kidney doctor.
Dr. Lafayette is always on time and a most excellent Doctor. I would not want to go to someone else for my renal visits, he is the best!
I have been with Drl Lafayette for 16 years. He is the best. I would change Health Plans to keep him as my doc.
Love Dr. L. With him for 16 yrs.
Dr. Lafayette is an excellent physician, very helpful and intelligent. Super experience.
Awesome, excellent! Very good!
Had Lafayette 24 yr. prior to me having him again. Wouldn't want nobody else to doctor my kidney.
Dr. Lafayette is a great doctor.
Very caring and considerate.
They considered various aspects of my health and in great details. I am very happy about that.
Dr. Lafayette is the best doctor that I have ever met. He takes extremely good care of me!
Dr. Lafayette is a wonderful doctor.
Very informative.
Excellent experience.
I only was there on a information finding mission & ended up wanting to be treated there.
Dr. Lafayette is a great doctor.

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