Organization Active NPI

Elite Physicians Inc.

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1770935868
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELITE PHYSICIANS INC.
Practice address
18144 US Highway 18 Ste 200
Apple Valley, CA 92307-2212
Phone
(760) 946-9722
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Dr. Tarek Moqattash, M.D.
Title
President
Phone
(909) 353-8821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

18144 US Highway 18 Ste 200
Apple Valley, CA 92307-2212

Mailing address

PO Box 1458
Victorville, CA 92393-1458
Phone (760) 946-9722

National Provider Directory

National Provider Directory

Locations

18144 US Highway 18
Ste 200
Apple Valley, CA 92307
Phone (760) 946-9722

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1770935868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1458",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931458",
            "telephone_number": "760-946-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18144 US HIGHWAY 18 STE 200",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072212",
            "telephone_number": "760-946-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "MOQATTASH",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-353-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 19, 2021; 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.