CANYON GATE MEDICAL GROUP, LLC
NPI 1649414244
Internal Medicine in Las Vegas, NV

Active since April 27, 2009
3960 W. CRAIG ROAD, SUITE # 102, LAS VEGAS, NV 89031(702) 473-8380(702) 473-8383 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 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 1649414244) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since April 2009. The organization lists Ricki Moskow, President, as its authorized official.

NPPES Registry Identity

NPI1649414244
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCANYON GATE MEDICAL GROUP, LLC
Location Address3960 W. CRAIG ROAD, SUITE # 102Las Vegas, NV 89031
Mailing Address2929 N University Dr, Suite # 110Coral Springs, FL 33065-5081 · (954) 656-8855 · Fax (954) 656-8856
Fax(702) 473-8383
Organization SubpartNo
Authorized OfficialRicki MoskowPresident · (954) 656-8855
Enumeration DateApril 27, 2009
NPI 1649414244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NV · 12804
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3960 W. CRAIG ROAD, Las Vegas, NV 89031

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 MULTIPLE 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 Gate Medical Group, LLC's NPI number?

The NPI number for Canyon Gate Medical Group, LLC is 1649414244. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Canyon Gate Medical Group, LLC located?

Canyon Gate Medical Group, LLC is located at 3960 W. Craig Road Suite # 102, Las Vegas, NV 89031. The listed phone number is (702) 473-8380.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Canyon Gate Medical Group, LLC was last updated on April 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.