Active NPI
Elite Physicians Inc.
- Internal Medicine Physician
- Apple Valley, CA
National Provider Identifier
1770935868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.