Organization Active NPI

Moqattash Medical Group Inc

  • Primary Care Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1043723562
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOQATTASH MEDICAL GROUP INC
Practice address
18064 Wika Rd Ste 103
Apple Valley, CA 92307-2182
Phone
(760) 906-9362
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Leonardo Moqattash, MDNPI 1578982823
Title
President
Phone
(909) 894-6737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18064 Wika Rd Ste 103
Apple Valley, CA 92307-2182

Mailing address

PO Box 1927
Victorville, CA 92393-1927
Phone (760) 906-9362

Other practice location 1

8906 San Bernardino Rd Ste 130
Rancho Cucamonga, CA 91730-8806
Phone (760) 906-9362

Other names 3

  • Finesse Med Spa and IV Lounge Doing business as
  • Finesse Primary Care Doing business as
  • Modele Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620002973 CA Part B Supplier - Clinic/Group Practice 2860935608 Receives reassigned benefits from 2 practitioners
Practice locations: Apple Valley, CA; Rancho Cucamonga, CA; Victorville, CA

National Provider Directory

National Provider Directory

Locations

15982 Quantico Rd
Ste E
Apple Valley, CA 92307
Phone (760) 269-5475

18064 Wika Rd
Ste 103
Apple Valley, CA 92307
Phone (760) 240-2444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1043723562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931927",
            "telephone_number": "760-906-9362",
            "fax_number": "760-503-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18064 WIKA RD STE 103",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072182",
            "telephone_number": "760-906-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8906 San Bernardino Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917308806",
            "country_code": "US",
            "telephone_number": "760-906-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOQATTASH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "MOQATTASH",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-894-6737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finesse Med Spa and IV Lounge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Finesse Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modele Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.