Canyon Springs Medical Group, Inc.
NPI 1073669404 · Family Medicine Physician · Moreno Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Springs Medical Group, Inc. is a Family Medicine Physician organization in Moreno Valley, CA (NPI 1073669404).
Provider details
- NPI number
- 1073669404
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Faheem Jukaku, President(951) 486-5610
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 26520 Cactus Ave Rm B2018Moreno Valley, CA 92555-3927Phone: (951) 486-5610Fax: (951) 486-5620
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2018-04-23
Frequently asked questions
- What is Canyon Springs Medical Group, Inc.'s NPI number?
- Canyon Springs Medical Group, Inc.'s National Provider Identifier (NPI) is 1073669404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Springs Medical Group, Inc.?
- Canyon Springs Medical Group, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Canyon Springs Medical Group, Inc. located?
- Canyon Springs Medical Group, Inc.'s practice location on file with NPPES is 26520 Cactus Ave Rm B2018, Moreno Valley, CA 92555-3927.
- What is Canyon Springs Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Canyon Springs Medical Group, Inc. is (951) 486-5610.
- Does Canyon Springs Medical Group, Inc. accept Medicare?
- Canyon Springs Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canyon Springs Medical Group, Inc.?
- The authorized official listed on Canyon Springs Medical Group, Inc.'s NPPES record is Faheem Jukaku, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Springs Medical Group, Inc.'s NPI active?
- Yes — Canyon Springs Medical Group, Inc.'s NPI (1073669404) is active in the NPPES registry as of the last update on 2018-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.