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 provides Family Medicine Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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