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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: August 09, 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
Phone(702) 243-2689
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
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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.

MS. JOANNE E PEARL NP
Nurse Practitioner (Family)
10155 W TWAIN AVE, SUITE 110
LAS VEGAS, NV 89147
Clark County (702) 722-2200
ESSENTIAL CARE NEVADA, INC
In Home Supportive Care
10155 W TWAIN AVE, #100
LAS VEGAS, NV 89147
Clark County (702) 487-1703
LALAINE VILLAHERMOSA APRN FNP-C
Nurse Practitioner (Family)
10155 W TWAIN AVE
LAS VEGAS, NV 89147
Clark County (702) 791-1400
CARMEN ROSE BARNES MD
Family Medicine
10155 W TWAIN AVE
LAS VEGAS, NV 89147
Clark County (702) 722-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Gate Medical Group, LLC's NPI number?

The NPI number for Canyon Gate Medical Group, LLC is 1013249788. It was assigned to this organization in the NPPES registry on February 5, 2010.

Where is Canyon Gate Medical Group, LLC located?

Canyon Gate Medical Group, LLC is located at 10155 W Twain Ave Suite # 110, Las Vegas, NV 89147. The listed phone number is (702) 243-2689.

What is Canyon Gate Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Canyon Gate Medical Group, LLC was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.