CANYON GATE MEDICAL GROUP, LLC
NPI 1013249788
Family Medicine in Las Vegas, NV

Active since February 05, 2010
10155 W TWAIN AVE, SUITE # 110, LAS VEGAS, NV 89147(702) 243-2689(702) 243-2632 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Canyon Gate Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON GATE MEDICAL GROUP, LLC (NPI 1013249788) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since February 2010. The organization lists Ricki Moskow, President, as its authorized official.

NPPES Registry Identity

NPI1013249788
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCANYON GATE MEDICAL GROUP, LLC
Location Address10155 W TWAIN AVE, SUITE # 110Las Vegas, NV 89147-6722
Mailing Address2929 N University Dr, Suite # 110Coral Springs, FL 33065-5081 · (954) 656-8855 · Fax (954) 656-8856
Fax(702) 243-2632
Organization SubpartNo
Authorized OfficialRicki MoskowPresident · (954) 656-8855
Enumeration DateFebruary 5, 2010
NPI 1013249788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10155 W TWAIN AVE, Las Vegas, NV 89147

Other Identifiers 1

Medicare PINBE527NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
10155 W TWAIN AVE, #100
LAS VEGAS, NV 89147
Family Medicine
10155 W TWAIN AVE
LAS VEGAS, NV 89147
Nurse Practitioner (Family)
10155 W TWAIN AVE, SUITE 110
LAS VEGAS, NV 89147
Nurse Practitioner (Family)
10155 W TWAIN AVE
LAS VEGAS, NV 89147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013249788, enumerated as an "organization" on February 05, 2010.

The provider is located at 10155 W TWAIN AVE SUITE # 110 LAS VEGAS, NV 89147 and the phone number is (702) 243-2689.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.