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

Canyon Gate Medical Group, LLC

Organization Family Medicine Physician · NPI 1013249788

Canyon Gate Medical Group, LLC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10155 W Twain Ave Ste # 110
Las Vegas, NV 89147-6722
Phone: (702) 243-2689
Fax: (702) 243-2632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1013249788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricki Moskow — President · (954) 656-8855
NPI enumeratedFebruary 5, 2010
Last updated in NPPESFebruary 5, 2010
Mailing address2929 N University Dr, Suite # 110, Coral Springs, FL 33065-5081

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