CANYON GATE MEDICAL GROUP (NPI# 1134421712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134421712 |
| Entity Type | Organization |
| Organization Name | CANYON GATE MEDICAL GROUP |
| Other Organization Name | CANYON GATE MEDICAL GROUP |
| Practice Address |
330 S Lola Ln Suite# 200 Pahrump NV 89048-0884 |
| Mailing Address |
2929 N University Dr Suite# 110 Coral Springs FL 33065-5081 |
| Practice Telephone | 9546568855 |
| Mailing Telephone | 7757510695 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | VERONICA COLON (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9546568855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 936 | NV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| canyon gate medical group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811229602 | Canyon Gate Medical Group | Internal Medicine | 283 N Pecos Rd, Henderson, NV 89074-1918 | 2010-02-04 |
| Street Address |
330 S LOLA LN SUITE# 200 |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-0884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949314 | Timothy Phan | Nurse Anesthetist, Certified Registered | 330 S Lola Ln, Suite 200, Pahrump, NV 89048-0878 | 2005-08-17 |
| 1508114794 | Orthopaedic Solutions LLC | Orthopaedic Surgery | 330 S Lola Ln, Pahrump, NV 89048-0878 | 2012-08-21 |
| 1699865220 | John B Sorensen | Surgery | 330 S Lola Ln, Suite 200, Pahrump, NV 89048-0878 | 2006-10-13 |
| 1053373225 | Total Renal Care Inc | Clinic/Center | 330 S Lola Ln, Pahrump, NV 89048-0884 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518012624 | Michael A Jonak | Family Medicine | 2780 Homestead Rd Ste 105, Pahrump, NV 89048-5464 | 2007-01-25 |
| 1407915911 | Desert View Family Medical Center | Family Medicine | 1401 S Highway 160, Ste B, Pahrump, NV 89048-4784 | 2006-12-08 |
| 1295781359 | Charles A Wilson | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2006-05-26 |
| 1871556415 | Edward M Harding | Family Medicine | 360 S Lola Ln Bldg B, Pahrump, NV 89048 | 2006-04-06 |
| 1871590570 | Matthew Bruce Roberson | Family Medicine | 1151 S Nevada Highway 160, Pahrump, NV 89048-4700 | 2005-07-07 |
| 1619427291 | Michael D. Reiner Md | Family Medicine | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2016-10-07 |
| 1104206697 | Jonathan P Navar | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2015-06-01 |
| 1912313263 | Karanvir Gupta | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2014-07-08 |
| 1841428026 | Marcie Cain | Family Medicine | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2009-06-26 |
| 1275799819 | Saira Beg | Family Medicine | 1280 E Calvada Blvd, Ste. 200, Pahrump, NV 89048-5693 | 2008-08-04 |
| Find all providers in PAHRUMP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.