CANYON SPRINGS MEDICAL GROUP, INC.
NPI 1073669404
Family Medicine in Moreno Valley, CA

Q: 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.

Q: What is Canyon Springs Medical Group, Inc.'s specialty?

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

Active since January 26, 2007

26520 CACTUS AVE RM B2018, MORENO VALLEY, CA 92555(951) 486-5610(951) 486-5620 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2018, Apr 10, 2018 (2 updates tracked since 2018).

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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

NPI1073669404

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCANYON SPRINGS MEDICAL GROUP, INC.

Location Address26520 CACTUS AVE RM B2018Moreno Valley, CA 92555-3927

Mailing Address26520 Cactus AveMoreno Valley, CA 92555-3927 · (951) 486-5610 · Fax (951) 486-5620

Phone(951) 486-5610

Fax(951) 486-5620

Organization SubpartNo

Authorized OfficialFaheem M. JukakuPresident · (951) 486-5610

Enumeration DateJanuary 26, 2007

Last NPPES UpdateApril 23, 20182 updates tracked since enumeration

✔ NPI 1073669404 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.

26520 CACTUS AVE RM B2018, Moreno Valley, CA 92555

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Secondary Practice Location 1

Location 126520 Cactus Ave Rm B2018Moreno Valley, CA 92555-3927 · Phone (951) 486-5610 · Fax (951) 486-5620

Other Identifiers 1

MedicaidGR0088740CA

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

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.

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.