David Michael Tatera, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY35648 Issued in CA

Practice address

44750 60TH St W
Lancaster, CA 93536-7619

Phone

(661) 729-2000

NPI assigned

Sep 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Credo Pharmacy LLC

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1255103024
  NPD Authorized official
• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Lancaster, CA
  • NPI 1558996371
  NPD

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1326557976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9394 GRACEFUL GOLD ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233888",
            "telephone_number": "702-800-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44750 60TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367619",
            "telephone_number": "661-729-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATERA",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0002287",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarzana Treatment Centers, Inc.
• Tarzana Treatment Centers, Inc.
• Tarzana Treatment Centers, Inc.
• Tarzanza Treatment Center
• Lauren Ashley Tasso
• Alma Gabriela Tatro
• Faiz Nasir Tausif, M.D.
• Max Bu-Huan Taw
• Christina Taylor, M.A.
• Christy Lynn Taylor

• Clinical Psychologist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.