Canyon Gate Medical Group
NPI 1134421712 · Family Medicine Physician · Pahrump, NV
Canyon Gate Medical Group is a Family Medicine Physician organization in Pahrump, NV (NPI 1134421712).
Provider details
- NPI number
- 1134421712
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Veronica Colon, Credentialing Coordinator(954) 656-8855
- License
- 936 (NV)
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
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Doing business as
- Canyon Gate Medical Group
Registry dates
- Enumerated
- 2010-12-02
- Last updated
- 2010-12-02
Frequently asked questions
- What is Canyon Gate Medical Group's NPI number?
- Canyon Gate Medical Group's National Provider Identifier (NPI) is 1134421712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Gate Medical Group?
- Canyon Gate Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Canyon Gate Medical Group located?
- Canyon Gate Medical Group's practice location on file with NPPES is 330 S Lola Ln, Pahrump, NV 89048-0884.
- What is Canyon Gate Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Canyon Gate Medical Group is (954) 656-8855.
- Who is the authorized official for Canyon Gate Medical Group?
- The authorized official listed on Canyon Gate Medical Group's NPPES record is Veronica Colon, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Gate Medical Group's NPI active?
- Yes — Canyon Gate Medical Group's NPI (1134421712) is active in the NPPES registry as of the last update on 2010-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.