Modele Aesthetics and Medical Spa

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MODELE AESTHETICS AND MEDICAL SPA

Practice address

8906 San Bernardino Rd Ste 130
Rancho Cucamonga, CA 91730-8806

Phone

(909) 353-8821

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tarek Moqattash, MDNPI 1801029483

Title

President

Phone

(909) 353-8821

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tarek Moqattash, M.D.

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1801029483
  NPD Authorized official

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1801517362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SAN BERNARDINO RD STE 130",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308806",
            "telephone_number": "909-353-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 SAN BERNARDINO RD STE 130",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308806",
            "telephone_number": "909-353-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODELE AESTHETICS AND MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MKJ and Associates LLC/Dba Primary Express Medical Transportation
• MMF Medical Transportation LLC
• Mobilia Dental Corporation
• Adrian Mobilia, DDS
• Phyllis Theresa Mock
• Vatsal Haren Mody, MD
• Melissa Moe
• Corrina Moffat
• Lydia Moffett
• Afrooz Moghadam

• Medical Specialty Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.