Mato Tatu

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-YHPCXI Issued in CA

Practice address

58457 29 Palms Hwy Ste 102B
Yucca Valley, CA 92284-5879

Phone

(760) 369-4057

NPI assigned

Mar 6, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1407702939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 ALABA AVE",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922846147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58457 29 PALMS HWY STE 102B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845879",
            "telephone_number": "760-369-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATU",
        "first_name": "MATO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-YHPCXI",
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenton W. Taber
• Colleen E Tahbo
• Julieann Tamminga
• Lorayne C. Tapia
• Kristina Tareila
• Tiffany Sidra Taylor-Mduba, APRN
• De Anna Marie Taylor, MSN, FNP-BC
• Steven Teeters
• Telecare Corp
• Telecare Corp

• Peer Specialist in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.