CANYON SPRINGS MEDICAL GROUP, INC.
NPI 1073669404
Family Medicine in Moreno Valley, CA
About Canyon Springs Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANYON SPRINGS MEDICAL GROUP, INC. (NPI 1073669404) is a healthcare organization registered as a family medicine in Moreno Valley, California and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Moreno Valley and lists Faheem M. Jukaku, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Canyon Springs Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Canyon Springs Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 26Moreno Valley, CA 92555
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Springs Medical Group, Inc.'s NPI number?
The NPI number for Canyon Springs Medical Group, Inc. is 1073669404. It was assigned to this organization in the NPPES registry on January 26, 2007.
Where is Canyon Springs Medical Group, Inc. located?
Canyon Springs Medical Group, Inc. is located at 26520 Cactus Ave Rm B2018, Moreno Valley, CA 92555. The listed phone number is (951) 486-5610.
What is Canyon Springs Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Canyon Springs Medical Group, Inc. enrolled in Medicare?
Yes. Canyon Springs Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canyon Springs Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 5 Medicare specialties reassign their Medicare billing to Canyon Springs Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (20), Nurse Practitioner (3) and Clinical Psychologist (1). Of these, 9 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Canyon Springs Medical Group, Inc. was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Canyon Springs Medical Group, Inc. · NPI 1073669404
Family Medicine organization in Moreno Valley, California. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1073669404 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Faheem Jukaku, PRESIDENT
## Practice location
- **Address:** 26520 CACTUS AVE RM B2018, Moreno Valley, CA 92555-3927
- **Phone:** (951) 486-5610 · **Fax:** (951) 486-5620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (20), Nurse Practitioner (3), Clinical Psychologist (1); 9 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1073669404/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2018
- **Other identifiers:** Medicaid GR0088740 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073669404) · Data from the CMS NPPES public registry.