Individual provider Active NPI

Tarek Moqattash, M.D.

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1801029483
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A116432 Issued in CA
Practice address
18064 Wika Rd Ste 103
Apple Valley, CA 92307-2182
Phone
(760) 906-9362
Fax
(760) 503-0064
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A116432 CA Primary
Primary Care Clinic/Center 261QP2300X
Internal Medicine Physician 207R00000X 52663 AZ

Addresses

Primary practice location

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

Mailing address

19878 Seneca Rd
Apple Valley, CA 92307-5519
Phone (909) 353-8821

Other practice location 1

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address modele@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000189 CA Practitioner - Internal Medicine 6002093200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moqattash Medical Group Inc.Group PAC ID 2860935608, 2 clinicians

Practice addresses (Care Compare)

15248 11TH St
Victorville, CA 92395-3704
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

18064 Wika Rd
Suite 103
Apple Valley, CA 92307-2182
Phone (760) 906-9362

18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116432CAMDClinical Social Worker
52663AZMDInternal Medicine Physician
A116432CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vvipa Medical Group Inc Internal Medicine Current Accepting new patients
High Desert Medical Group Internal Medicine CurrentSince May 1, 2011 Accepting new patients
Modele Aesthetics and Medical Spa Current Accepting new patients
Merrycure Medical Corp. Internal Medicine CurrentSince Jul 31, 2023 Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

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

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

12370 Hesperia Rd
Ste 9
Victorville, CA 92395
Phone (760) 261-5227

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: modele@direct.practicefusion.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1801029483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19878 SENECA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075519",
            "telephone_number": "909-353-8821"
        },
        {
            "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",
            "fax_number": "760-503-0064"
        }
    ],
    "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": {
        "last_name": "MOQATTASH",
        "first_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116432",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "modele@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18064 Wika Rd Ste 103",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923072182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.