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CANYON GATE MEDICAL GROUP
NPI 1134421712
Family Medicine in Pahrump, NV

Active since December 02, 2010
330 S LOLA LN, SUITE# 200, PAHRUMP, NV 89048(954) 656-8855 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon Gate Medical Group NPPES

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

CANYON GATE MEDICAL GROUP (NPI 1134421712) is a healthcare organization registered as a family medicine in Pahrump, Nevada and active in the NPI registry since December 2010. The organization lists Veronica Colon, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1134421712
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCANYON GATE MEDICAL GROUP
Location Address330 S LOLA LN, SUITE# 200Pahrump, NV 89048-0884
Mailing Address2929 N University Dr, Suite# 110Coral Springs, FL 33065-5081 · (775) 751-0695
Phone(954) 656-8855
Organization SubpartNo
Authorized OfficialVeronica ColonCredentialing Coordinator · (954) 656-8855
Enumeration DateDecember 2, 2010
✔ NPI 1134421712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 936
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.
330 S LOLA LN, Pahrump, NV 89048
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Other Names 1

Doing Business AsCanyon Gate Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (775) 751-2390
TIMOTHY PHAN CRNA
Nurse Anesthetist, Certified Registered
330 S LOLA LN, SUITE 200
PAHRUMP, NV 89048
Nye County (775) 751-7500
ORTHOPAEDIC SOLUTIONS LLC
Orthopaedic Surgery
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (702) 475-4390
CYNTHIA RAE HOUTROUW APRN
Nurse Practitioner (Family)
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (702) 277-1135
VZ HEALTH AND WELLNESS
Family Medicine
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (702) 277-1357

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's NPI number?

The NPI number for Canyon Gate Medical Group is 1134421712. It was assigned to this organization in the NPPES registry on December 2, 2010.

Where is Canyon Gate Medical Group located?

Canyon Gate Medical Group is located at 330 S Lola Ln Suite# 200, Pahrump, NV 89048. The listed phone number is (954) 656-8855.

What is Canyon Gate Medical Group'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 was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.