Family Medicine
CANYON GATE MEDICAL GROUP, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1013249788 · enumerated 2010-02-05 · record updated 2010-02-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RICKI MOSKOW, President · (954) 656-8855
Addresses and phones
- Mailing address 2929 N UNIVERSITY DR, SUITE # 110, CORAL SPRINGS, FL, 33065-5081 (954) 656-8855 Fax (954) 656-8856 Google Maps Apple Maps OpenStreetMap
- Practice location 10155 W TWAIN AVE, SUITE # 110, LAS VEGAS, NV, 89147-6722 (702) 243-2689 Fax (702) 243-2632 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
LAS VEGAS, NV, 891476722
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.