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 provides Family Medicine Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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