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

Canyon Gate Medical Group, LLC

Organization Internal Medicine Physician · NPI 1649414244

Canyon Gate Medical Group, LLC is an Internal Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2009.

Licensed in
NV
In the registry since
2009
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

3960 W Craig Rd Ste # 102
Las Vegas, NV 89031
Phone: (702) 473-8380
Fax: (702) 473-8383
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12804 (NV)

Record details

NPI number1649414244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricki Moskow — President · (954) 656-8855
NPI enumeratedApril 27, 2009
Last updated in NPPESApril 27, 2009
Mailing address2929 N University Dr, Suite # 110, Coral Springs, FL 33065-5081

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