Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Gate Medical Group

Organization Family Medicine Physician · NPI 1134421712

Canyon Gate Medical Group is a Family Medicine Physician in Pahrump, Nevada. Licensed in Nevada. Registered with an NPI since 2010.

Licensed in
NV
In the registry since
2010

Practice location Address checks out

330 S Lola Ln Suite# 200
Pahrump, NV 89048-0884
Phone: (954) 656-8855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 936 (NV)

Record details

NPI number1134421712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Colon — Credentialing Coordinator · (954) 656-8855
Other names Canyon Gate Medical Group
NPI enumeratedDecember 2, 2010
Last updated in NPPESDecember 2, 2010
Mailing address2929 N University Dr, Suite# 110, Coral Springs, FL 33065-5081

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